RCM Administrator

RCM Administrator

Job Description

• Manages Claims Submission by checking accuracy of CPT and ICD coded invoices. Rectifies errors in billing in coordination with the doctors.

Responsibilities

Claims Processing Team: Submission

•Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on day-to-day basis.
•Analysis of the UCF documentation issue from time to time and providing reports about areas of concern in coding and the claims.
•Uploads OP E-claims.
•Identifies commonly used ICD codes and relevant CPT codes and compile the list.
•Identifies the ICD codes (Diagnosis under Exclusion) and CPT codes (not billable).
•Reports variations / irrelevance in the CPT codes used for services/procedures.
•Assigns proper CPT/ HCPCS codes for newly added services / procedures.
•Reports the audit findings about discrepanci...