UASI is seeking several Denials Specialists with coding expertise to join our team! The Denials Specialist will be responsible for reviewing documentation to ensure accuracy of diagnoses and procedure codes and resolving claim denials related to coding, billing, and payer policy compliance. This role focuses on identifying coding errors, modifier issues, bundling conflicts, and billing rule discrepancies to recover underpaid or denied revenue and prevent future denials.
Responsibilities:
- Review the provider's documentation to ensure all diagnoses and procedure codes were reported accurately.
- Research CMS LCD, NCD, NCCI Edit Policy, CPT Assistant, HCPCS Coding Clinics, payer guidelines, etc.
- Complete charge corrections and update claims when coding corrections are needed.
- Identify claims that do not support billed CPT codes and take action as needed.
- Identify and resolve claims requiring adjustments by updating the billed E/M and procedure co... Click Apply to read the full job description.