Baptist Health Care

The Coding Auditor reviews patient records to ensure correct coding assignments and issues quarterly report cards to coders. Additionally, the role provides coding education and manages audit appeals for RAC and other third-party payers.

The Insurance Follow Up Representative is responsible for various tasks within the accounts receivables reconciliation process. The role focuses on managing insurance follow-ups to ensure proper payment and reconciliation.

The Billing Liaison coordinates between the central business office, physician leadership, and staff to resolve billing issues and improve revenue cycle outcomes. They are also responsible for researching initiatives, providing education, and updating revenue cycle information on the organization's website.

The Authorization Specialist manages financial clearance for the Infusion Center by obtaining authorizations for infusion and radiation services. They coordinate pre-appointment requirements including scheduling, price estimation, and communication between patients and providers.

The representative validates patient demographics and insurance benefits with payers to ensure accurate EMR documentation. They also create cost estimates in compliance with state transparency and no-surprise billing regulations.

The Coder II reviews outpatient records to accurately assign appropriate ICD-10-CM or CPT-4 codes following established guidelines, maintaining a 97% accuracy rate and meeting productivity standards. This role also involves reviewing outpatient records according to outpatient rules and potentially handling ER Facility Charging, along with regularly following up on outstanding unbilled accounts.