Coding Specialist Job at MD Ally Technologies, Inc.
- Credentialing individual providers and group with payors
- Reviewing medical records for provider documentation standards
- Reviewing medical records for additional revenue opportunities
- Reviewing table builds in Athena to ensure clean claim submission
- Submitting claims
- Assessing payor rejections and denials for provider credentialing issues
- Working claims escalated by the billing partner to ensure corrected claims are filed within payor timely filing deadlines
- Ensuring compliance with NCCI (National Correct Coding Initiative)
- Using CPC knowledge to code and submit claims for MD Ally patient encounters
- Provide recommendations on coding strategy
- Recommend opportunities to increase revenue
- Other RCM, payor contracting & enrollment, and related tasks, as requested
CPC License Required
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