Job Title: Medical Coder
Duration: 6 months Contract (Possibility to extend or convert to FTE)
Location: Remote- CST
Shift Type: 8 am to 5 pm CST.
Pay range: $18 to 21 per hour
Job Duties:
• This role is unique for the typical Medical Coder because you are using your skill to evaluate if the provider billing follows correct coding guidance, other regulatory guidance, and policies to make a determination on whether the service is payable or not.
• Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion.
• Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review.
• Review cases with Medical Director to validate decisions and identify opportunities to create medical policy in the absence of guidelines.
• Assist with research of health plan coding questions.
• Identify potential billing errors, abuse, and fraud.
• Identify opportunities to flag potential cases which may warrant a prepayment review (versus an automatic system denial or payment).
• Maintain appropriate records, files, documentation, etc.
• Individual will report for assignment by logging into the system remotely and start to work.
• They will work from a work queue that auto selects the next highest priority claim/med record review needed.
• They will record their productivity into our production tracking application.
Years of experience required:
• 2+ years of experience in medical billing & Coding.
• Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion.
• Identify potential billing errors, abuse, and fraud.
• Operate technological hardware (laptop, pc) and work in software applications
Education/Certification Required:
• Associate’s degree in related field or equivalent experience.
• Coding Certification - CPC, CPC-H, CPC-A, CPC-P, CCS, CCS-P, CPMA, RHIT or RHIA
• Preferred: CPC, CPC-P, CCS, CCS-P
...Job Type Part-time About the Role: At Happy Egg, our farmers are at the heart of everything we do. As a Farmer Relations Specialist , youll play a key role in expanding and maintaining our network of direct contract farmers. Youll be responsible for recruiting...
...Admin Assistant/Clerk, EH&S 2nd Shift Coordinates the organizations Environmental, Health, and Safety programs to protect employees and the company against harm and maintain safe working conditions. This position is required to maintain Tenneco and local standards....
...Job Description Social Media Manager (In-House, Part-Time to Start) Mattress Lux | Kennesaw, GA Please read carefully. This... ...relationships. Our social media is an extension of our in-store experiencewarm, premium, thoughtful, and human. We are hiring a...
...Job Description Malone Healthcare - Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Prescott Valley, Arizona. Job Description... ...Radius Rule: 50 miles\n\nCannot have worked FT/PT/PRN or perm at any CommonSpirit / CHI /...
...monitoring the patient's condition, administering medications, advising patients and their families on current prognosis, and providing support throughout the hospice process. Trustaff Job ID #954647. Pay package is based on 8 hour shifts and 40 hours per week (subject to...