Certified Coder (Hybrid) - Physicians Billing Service

Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary duties include appealing denied claims, creating appropriate letters and documentation to substantiate claim validity, collaborating with physicians and clinical staff to develop appeals, researching payer policies, reviewing clinical documentation to identify facts for accurate diagnoses and procedures, coding evaluation and management services to appropriate CPT levels, ensuring ICD codes are linked to services, managing AR in Epic, reviewing remittance advice for rejections and payment accuracy, and performing related AR tasks and special projects in a normal office setting with occasional in-office work.