Description Insurance verification and eligibility. Insurance pre-authorization / pre-certifications verification and documentation in the billing system as well as electronic document system. Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases. Contacts
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately