Documentation Review Assistant - Baltimore, United States - Johns Hopkins Care at Home
Description
Join an amazing global healthcare organizationWhat Awaits You?
- Career growth and development
- Employee tuition reimbursement
- Generous PTO plan
- Affordable and comprehensive benefits package
Position Summary:
- The
Documentation Review Assistant demonstrates an advanced level of proficiency in multiple payers' documentation requirements, secures complete documentation to ensure payment for DME services that have been provided by Johns Hopkins Home Care Group. - With contact and followup with Insurance Companies, doctors and other clinicians and individuals.
- Independently troubleshoots and resolves complex documentation issues to completion on a daily basis.
- Acts as a resource and helps to train others. Resolves validations.
- Additional duties may include payer audits, software system testing, and all other duties as assigned by the Supervisor. Obtains appropriate ICD9/ICG10 required to bill payers.
Shift:
PRN- Casual/On-Call
About 4-5 hours per day (as needed), about 20-25 hours per week
Hybrid Work
Location:
Johns Hopkins Home Care
5901 Holabird Ave, Baltimore MD 21224
Education
- High School graduate or equivalent required.
- Post high school education or training preferred.
- Coding certification preferred
Experience
- Three years experience in health care related field required; DME billing and or collections experience preferred.
- Minimum 2 years experience professional coding/ medical coding.
Skills
- Ability to review medical documentation and assign appropriate HCPC code and ICD9/10 code
- Ability to resolve incorrect and or nonqualifying codes
- Extensive knowledge of HCPC & ICD9/10 codingMust be able to review medical policy & match qualifying ICD9/10 code to HCPC code
- Knowledge of government payer requirements for DME equipment and supplies
- Knowing how to integrate medical coding and reimbursement rule changes into the reimbursement processes
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