
Clinical Content Analyst
24 hours ago
We are seeking an experienced Medical Coder to join our team. As a Medical Coder, you will be responsible for 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.
Job Description:The Medical Coder will conduct research on medical coding and billing documents, identify claim denial or covered criteria, and provide written and oral presentations to stakeholders to obtain consensus on proposed denial criteria. Additionally, the Medical Coder will provide clinical content support to customers as needed, perform data entry of clinical content updates into the database, and solve problems related to the interpretation of inpatient coding or ICD-10-CM coding conventions/guidelines for inclusion or exclusion within our business rules.
Required Skills and Qualifications:- 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 the areas of CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing
- Previous experience working with US health insurance payers in a claims, appeals, or coding capacity
- Excellent Communication Skills (verbal and written) enabling effective communication with all areas of the business
This role offers a challenging and rewarding work environment with opportunities for professional growth and development. The Medical Coder will have the opportunity to work with a talented team of professionals who are dedicated to delivering high-quality results. In addition, this role offers flexible scheduling options and a competitive compensation package.
Others:We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for medical coding and billing, we encourage you to apply for this exciting opportunity.
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