Sentences with phrase «verify diagnosis codes»

Examine patientsÕ encounter forms to verify diagnosis codes, and reconcile codes against services rendered.

Reviewed patients» encounters to verify diagnoses coding and reconciled CPT coding against services rendered.

Not exact matches

Corrected CPT codes and diagnoses, verified Medi - Cal eligibility through the State of California Web site, and contacted patients regarding ineligibility and primary insurance carriers.

GRACE FEDERAL SOLUTIONS, Falls Church, VA (6/2011 to Present) Inpatient Coder • Study inpatient records and determine their authenticity • Review patients» documentation to determine diagnosis, co-morbidities and complications • Use technical coding principles and reimbursement expertise to assign proper diagnosis and procedures • Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document • Identify non-payment conditions and report them through specified procedures • Serve as a resource for coding related queries after verifying authenticity of inquirer • Ascertain that quality and integrity of coding including accurate determination of principle diagnosis and secondary diagnosis is accurate • Provide support in maintaining acceptable accounts receivables

NORTHWESTERN MEMORIAL HOSPITAL, Falls Church, VA (1 / 20109 to 6/2011) Outpatient Coder • Verified outpatient information regarding diagnosis and treatment • Punched information into the coding system using prescribed outpatient codes • Ascertained the accuracy of codes according to specific procedures performed • Responded to queries for information regarding medical procedures performed on particular patients • Recorded information regarding reason for short patient visit, type of illness and breakdown of the treatment provided

• Collected outpatient coding data information and ensured that it was properly organized • Punched in patient data into the predefined system by ensuring that proper codes are followed • Verified that diagnosis assigned by physicians is in accordance to procedural codes • Assigned Level 1 and CPT4 modifiers to procedures to ensure maximization of insurance reimbursement • Ascertained that procedures documented on encounter forms are properly Verified that diagnosis assigned by physicians is in accordance to procedural codes • Assigned Level 1 and CPT4 modifiers to procedures to ensure maximization of insurance reimbursement • Ascertained that procedures documented on encounter forms are properly verifiedverified

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

Medical billing specialists assign different corresponding codes to make sure that a medical facility is accurately billed whenever the physicians needs to make a diagnosis or perform a procedure, and also have to verify the diagnoses and the procedures with the physicians to avoid discrepancies in the future.

Verify insurance coverage, acquire authorization, and provide forms with procedure codes, diagnosis and physician signatures.