Job Description
The Payer Compliance Specialist I – RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP claims, to determine appropriateness per contract. This position will review electronic and manual postings associated with variances, appeal for re-processing, and/or request corrections as necessary for USAP to receive the full allowance per contract. Additiona
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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