Medical Billing and Coding

• Review medical record documentation and add or correct diagnosis and procedure codes submitted by providers
• Code assigned records using current coding and billing requirements
• Monitor coding and billing performance and resolve denials related to coding errors
• Review charge corrections and rebilling for coding-denial resolution
• Analyze claims-denial data and develop preventative measures
• Prepare periodic reports for clinical staff identifying corrective measures
• Advise and instruct providers on documentation and billing policies, procedures, and regulations
• Obtain clarification for conflicting, ambiguous, or nonspecific documentation
• Educate providers and office staff on documentation, coding, billing changes, and regulations
• Collaborate with providers, office staff, billing personnel, quality, compliance, and coding resources
• Stay updated on coding rules and attend seminars and review coding periodicals
• Work directly with patients, customers, healthcare professionals, and staff

Explore Pro Fee Coding Specialist at Saint Francis Health System. Review requirements and application details.

Pro Fee Coding Specialist

• Review medical record documentation and code assigned diagnoses and procedures
• Add or correct diagnosis and procedure codes submitted by providers
• Apply current coding and billing requirements to ensure accurate claims submission
• Monitor coding and billing performance and resolve denials related to coding errors
• Review charge corrections and rebilling requests for coding-denial resolution
• Analyze claims-denial patterns and develop preventative measures
• Prepare periodic reports for clinical staff identifying corrective measures
• Advise and instruct providers on documentation and billing policies, procedures, and regulations
• Obtain clarification from providers regarding conflicting, ambiguous, or nonspecific documentation
• Educate providers and office staff on coding, billing, documentation, and regulatory changes
• Collaborate with providers, office staff, billing personnel, quality, compliance, and coding resources
• Stay current on coding rules through seminars, reviews, and coding periodicals