The Inpatient Coding Specialist III is responsible for accurate and consistent coding of complex inpatient cases using ICD-10-CM and ICD-10-PCS systems. The role involves supporting quality healthcare data production and ensuring optimal reimbursement through precise coding practices.
Manages the installation, adoption, and support of application software for clinical, research, and administrative activities. Oversees personnel management, project planning, and budget preparation for assigned cost centers.
Initiates contact with families to obtain registration and insurance information to ensure accurate billing cycles. Enters patient data into the Epic system and identifies self-pay patients for financial counseling.
The Account Resolution Representative is responsible for obtaining fiscal resolution of insurance claims by investigating denials and processing errors. They also manage patient and insurance company collections, file appeals, and escalate payer trends to the billing leadership team.
