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Coding Analyst PHX
DescriptionPHX: Comprehensive claims editing yielding fast, accurate and customized editing of in-network and out-of-network claims. Our advanced software combines payment policy and medical management edits in a single application. We also use an integrated approach combining state-of-the-art technology with Certified Professional Coders and Nurse Auditors to help us deliver proven recovery returns.
As a Coding Analyst, you will be responsible for reviewing claims and/or medical records for appropriate billing as well as responding to appeals or inquiries related to determinations with providers.
MAJOR RESPONSIBILITIES:
Researching manuals/guidelines (including but not limited to AMA, CMS, and PHX Clinical Manual) once an appeal is received by PHX
Utilizing the most up to date documentation/guidelines in responding to appeals
Customizing and/or creating appeal letters in a professional manner
Handling appeals and/or telephone/email inquiries related to determination of appeal
Validating edits for non-editing client claims
Performs other related responsibilities as assigned
QUALIFICATIONS / EDUCATION / EXPERIENCE REQUIRED:
3+ years healthcare and medical claims processing experience within a provider/facility?s office or Payer
CPC or equivalent credentialing
Appeals experience preferred
Excellent customer service skills
Exceptional professionally written communication skills
Diligent research and organizational skills
Ability to multi-task and detailed-oriented required
Knowledge of Microsoft Word & Excel a must
| Location: | Bedminster, NJ United States |
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PHX
Investors: Edison Venture FundAll Jobs: at PHX
| Web Site: | www.phx-online.com |
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| Headquarters: | 00000 United States |
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