Job Description
MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS The primary job duties this position is responsible for achieving are listed in order of importance. Review and analyze clinical documentation to identify and capture all billable services and procedures. Utilize coding systems (CPT, ICD-10, HCPCS, NRV's/ Revenue Codes) to assign appropriate codes for services rendered. Verify insurance eligibility and co
8:00 AM
Review the credentialing action queue. New providers starting next month, re-credentialing deadlines, applications waiting on paye…
8:30 AM
Work a new physician onboarding packet. Complete the CAQH ProView profile — this is the universal credentialing database most comm…
10:00 AM
Submit initial payer enrollment applications for a new hospitalist joining the group. Each payer has its own application: Medicare…
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