Validate denial reasons and ensure accurate coding in the DCM system
Generate appeals based on dispute reasons and payer guidelines
Research contract terms and compile supporting documentation for appeals
Required Qualifications
High School Diploma or equivalent; some college coursework preferred
3 - 5 years of experience in a hospital business environment performing billing and/or collections
Intermediate understanding of Explanation of Benefits, Managed Care Contracts, and hospital billing form requirements
Intermediate knowledge of ICD-9, HCPCS/CPT coding, and medical terminology
Intermediate Microsoft Office skills
Average salary estimate
$65000
/ YEARLY (est.)
min
max
$55000K
$75000K
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