- Review provider documentation for accuracy and completeness.
- Assign appropriate ICD-10-CM, CPT, and HCPCS codes for visits, procedures, and tests.
- Submit clean claims electronically to insurance carriers.
- Monitor claim status and ensure timely reimbursement.
- Process insurance and patient payments, including EOB and ERA review.
- Handle claim corrections, rebilling, and appeals.
- Maintain compliance with HIPAA, payer policies, and federal regulations.
- Participate in internal audits and quality assurance reviews.