Physician Appeals Specialist

Department: 13229 Enterprise Revenue Cycle - Rev Recovery and Audit Mgmt Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Mon-Fri Pay Range: $26.55 - $39.85 Major Responsibilities: ​Escalated review of medical documentation at an advanced level from clinicians, qualified health professionals and hospitals to validate medical necessity of the service rendered. Ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations and EMR and/or payer guidelines. Appeal advanced levels of medical appeals with insurance payers to recovery denied payment while validating the integrity of the coded charges and billed claim.…