Code Edit Disputes Medical Coder
New
H
HumanaHealthcare insurance
This is a remote position from anywhere in the US.Full-TimeMiddle
Salary48,300 - 65,900 USD per year
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Job Details
- Experience
- Minimum of 3 years' experience as a Certified Medical Coder
- Required Skills
- Microsoft Excel
Requirements
- Hold an AAPC CPC coding certification; Apprentice certification does not qualify.
- Have at least 3 years of experience as a Certified Medical Coder.
- Demonstrate the ability to solve complex coding issues.
- Have experience with Medicare and Medicaid coding guidelines.
- Demonstrate strong data-entry and attention-to-detail skills.
- Be able to manage multiple tasks and competing priorities in a fast-paced setting.
- Have intermediate experience with Microsoft Word, Excel, Outlook, and Teams.
- Work typical business hours Monday through Friday, 8 hours per day.
- Maintain a dedicated, interruption-free workspace to protect member PHI/HIPAA information.
- Meet the stated work-from-home internet requirements.
Responsibilities
- Review provider disputes involving adjudicated claims with code-editing denials or financial recoveries.
- Educate providers about code-editing disputes.
- Extract clinical information from a variety of medical records.
- Assign appropriate procedural terminology and medical codes, including ICD-10-CM and CPT, to patient records.
- Analyze, enter, and manipulate database information.
- Respond to or clarify internal requests for medical information.
- Prioritize requests and interpret or adapt administrative processes and procedures.
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