
Healthcare Coding Specialist
20 hours ago
We are seeking a highly skilled and detail-oriented Healthcare Coding Professional to join our team. As a key member of our organization, you will play a vital role in conducting research and identifying relevant medical coding and billing documents to ensure accurate claim processing.
Key Responsibilities:- Research and analyze medical coding and billing documents to identify potential issues and discrepancies.
- Develop and implement effective solutions to resolve claim denials and improve the overall claims processing experience.
- Collaborate with cross-functional teams to provide timely and accurate responses to customer inquiries.
- Stay up-to-date on industry developments and changes in coding regulations to ensure compliance and quality.
To be successful in this role, you will require a strong background in healthcare coding and a keen eye for detail. A bachelor's degree in nursing or a related field is preferred, along with active RN licensure and certification as a Coding Specialist - Physician (CCS-P) or Certified Professional Coder (CPC).
A minimum of 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing is required. Previous experience working with US health insurance payers is also essential.
Requirements:- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Proficient in MS Office applications and able to learn new software systems quickly.
This is an excellent opportunity for a motivated and organized individual to join our team and contribute to the development of innovative solutions for the healthcare industry.
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