Responsible for securing pre-authorizations for medical and surgical services to ensure hospital and physician reimbursement. This includes verifying insurance coverage, analyzing clinical data, and coordinating with providers and insurance carriers.
Augusta Health
2 Remote Job Openings at Augusta Health
The Coder II is responsible for accurately reporting and sequencing ICD-10-CM, HCPCS, and CPT codes while managing bill drop dates and AR expectations. They generate physician queries to clarify patient conditions and ensure compliance with regulatory guidelines and productivity standards.