Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.
Key Responsibilities
- Assigning ICD and CPT codes to Homecare and Outpatient center.
- Coordinate with insurance company for approvals.
- Responsible for handling the insurance clarifications and reporting the details to the insurance on timely basis.
- Handling Rejections and Resubmitting the E claims.
- Communicating documentation improvement opportunities and coding issues to appropriate personnel.
- Submission to all claims at the end of the day for outpatient billing and submission of Homecare claims every week without missing.
- Communicating with coworkers for pre‑approval documents and tracking the approval homec...