Reviews and audits claims for billing, coding, service, compliance, and reimbursement issues.
Assists with non-clinical aspects of the claims review process and serves as a coding resource.
Provides training and support to Medical Care at Home clinicians and staff to promote best practices in claims coding.
Applies coding skills to initiatives that support claims compliance.
Works under moderate supervision.
Requirements & Qualifications
Licenses and Certifications
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Risk Adjustment Coder (CRC) in ICD-10-CM coding preferred
- Active certified coder certification through AHIMA or AAPC preferred
Education
- Bachelor's degree or equivalent work experience required
Experience
- Minimum 3 years of payor work experience with medical records, including ICD-10-CM or a current coding system and medical record systems
Knowledge and Skills
- Strong knowledge of claims submission procedures and systems, state, federal, and Medicare regulations
- Knowledge of medical terminology, physiology, pharmacology, disease processes, and related procedures
- Working knowledge of medical terminology, provider reimbursement, ICD-10, HCPCS, and CPT-4 coding
- PC literate with strong Microsoft applications skills
- Ability to handle multiple priorities and meet deadlines
Benefits & Perks
Benefits and Perks
- Referral bonus opportunities
- Generous paid time off, starting at 30 days plus 9 company holidays
- Medical, dental, vision, life, and disability insurance
- Employer-matched 401(k) retirement savings program with pre- and post-tax contributions
- Personal and financial wellness programs
- Pre-tax flexible spending accounts for healthcare and dependent care
- Commuter transit program
- Tuition reimbursement for qualifying degrees
- Opportunities for professional growth, career advancement, and CEU credits
Location
New York, US
Employment Type
Part-time
Experience Level
Intermediate Level
Salary Range
$66,300 - $72,000
Remote work allowed
No
Posted
3 weeks ago
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