Medical Coding Fresher

Job Description:

• Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles
• Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software
• Obtain vehicle information from the DMV
• Follow HIPAA policy on each and every call
• Abided by the laws and regulations associate under HIPAA and patient confidentiality
• Receive recognition for creating a workflow and database for all incoming subpoenas
• Assist in training new CSA's on job responsibilities, which increase office productivity
• Ensure compliance with company regulations and Medicaid requirements
• Coordinate Medicare, Medicaid, and secondary insurance coverage
• Gather and compile evidence to support contest claims in litigation
• Review automobile titles, completing transfers and owner retention DMV documents with customers
• Conduct detail bill reviews to implement sound litigation management and expense control
• Identify claims for potential fraud and abuse and process expedited appeals and organizational determinations
• Devise creative and cost-effective incentive and morale-boosting programs that increase CSA satisfaction and productivity
• Execute effective and efficient claim dispute resolutions in regard to provider and facility appeals
• Assist veterans and their dependents in determining eligibility for VA benefits via phone contact and personal interview