Medical Billing & Coding Specialist
About this role
Essential Functions:
- Audits charts and revies 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 medica specialty upon translating audit findings
- Follows up and clarifies any information that i s 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
Company at a glance
Founded in 1999, Southwest Network operates seven top-rated mental and behavioral health facilities in Maricopa County, Arizona and an Administrative Headquarters in Phoenix. We provide integrated mental health and primary care services for adults, as well behavioral health therapy and services for youth – on an outpatient basis.
Southwest Network has earned a reputation for excellence in helping people overcome addition, trauma, depression, anxiety, PTSD, sex / human trafficking, and other issues and conditions. We have special expertise in serving individuals designated with a serious mental illness (SMI), and providing expert treatment and support that helps them achieve independence and recovery.
Southwest Network offers an environment where our employees thrive. We value the unique contributions of our team; welcome input and innovation; and embrace diversity, equity, and inclusion in all that we do. We reward our staff with competitive compensation, a generous benefits package, ongoing training, professional development, awards programs, and opportunities to participate in philanthropies that support our local communities.
Learn more about our organization by visiting our website at www.southwestnetwork.org.
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