Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimize denials. Provides feedback regarding coding errors and oversight.
Coordinates with the Insurance team for procedures that may need authorization prior to billing.
Abstracts necessary information from health records to identify secondary complications and co-morbid conditions.
Ensures coding is following DHA guidelines and regulations.
Prepare statistical and analytical reports of coded data for facility administration and improvements.
Ensures timely submission of medical claims to insurance companies by obtaining referrals and pre-authorization. Reviewing patients bills for accuracy. Following up with unpaid claims within standard billing cycle time frame. Checking insurance payment for accuracy and compliance with any contract discount.