
Healthcare Coding Expert
1 week ago
Medical Coding Specialist
">We are seeking an experienced Medical Coding Specialist to join our team. The ideal candidate will have a strong background in conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.
Responsibilities:
- Conduct research and identify Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for our automated claims editing solution.
- Provide written and oral presentations to obtain consensus on proposed denial criteria.
- Collaborate with customers to provide clinical content support as needed.
- Perform data entry of clinical content updates into database, as needed.
Requirements:
- Bachelor's Degree in Nursing.
- Active RN (PRC) License.
- AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC).
- At least 5 years of experience in areas of CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing.
- Previous experience working with US health insurance payers in claims, appeals, or coding capacity.
- Excellent Communication Skills (verbal and written).
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