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Southwest Network

Medical Billing & Coding Specialist

phoenix, AZ

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About this opportunity

Southwest Network lists this Medical Billing & Coding Specialist opportunity in phoenix, Arizona. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Job Details

Essential Functions:

Audits charts and reviews clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere

Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits

Complies with all medical coding guidelines and monitors evolving regulatory and industry changes

Provides targeted education, direct coaching, and facilitates training programs tailored to each medical specialty upon translating audit findings

Follows up and clarifies any information that is not clear with the rendering provider

Collaborates with IT and EHR teams to improve charge automation and optimize workflows

Conducts ad-hoc audits to ensure fidelity to coding guidelines

Relevant expert for Southwest Network on accurate and efficient coding practices

Analyze medical records and identify documentation deficiencies

Nonessential Functions:

Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program

Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical and professional guidelines adopted by Southwest Network

Other duties as assigned

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Worksite address

phoenix, AZ, 85003, US

Who can apply

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