Participants will undergo hands-on training in medical billing and accounts receivable while working alongside the Accounts Receivable Resolution team. Apprentices will gain exposure to day-to-day operations and collaborate with various revenue services departments to support healthcare providers.
The ETM Coder is responsible for reviewing medical documentation to validate accurate ICD-10-CM and CPT-4 coding for reimbursement purposes. They must also process charges within 24-48 hours while maintaining a 95% accuracy rate and adhering to CMS regulations.
The Medical Coding Assistant will reconcile electronic professional charges, resolve billing issues, and ensure all EMR charges are accurately accounted for. They will also perform basic coding reviews and data entry while collaborating with coding staff and management.
The specialist designs and delivers coding and regulatory education to physicians and advanced practice providers to ensure compliance with Federal, State, and AMA requirements. They also manage the new provider orientation process and collaborate with leadership to update educational materials.
Lead ongoing education and training for existing and new coding staff with a focus on surgical specialties. Perform coding analysis, audits, and research to ensure adherence to regulatory guidelines and team success.
The coordinator follows up on unpaid or rejected insurance claims and works with carriers and physicians to resolve account issues. They are responsible for reviewing EOBs, preparing appeals, and tracking reimbursement progress in an electronic system.
The specialist is responsible for resolving insurance claim denials for assigned departments to enhance revenue for providers. This involves generating written appeals based on coding and contract reviews and identifying denial patterns to proactively resolve recurring issues.
