This is an intermediate-level technical position in the pre-payment high risk claims function. The role requires a coding certification to independently perform reviews of high risk and/or high dollar claims from a medical coding and provider billing perspective to ensure claims payment integrity.
Requirements
- 4+ years' experience in medical billing and coding
- Certified Professional Coding (CPC) certification
- In-depth knowledge of medical terminology and ICD-10, CPT, and HCPCS coding systems
- Strong knowledge of Evaluation and Management (E&M) Coding guidelines
- Strong focus on attention to detail
- Excellent written and verbal skills
- Familiarity with encoder systems and electronic medical record (EMR) software
Benefits
- Medical, dental, vision, life and global travel health insurance
- Income protection benefits: life insurance, short- and long-term disability programs
- Leave programs to support personal circumstances
- Retirement Savings Plan including employer match
- Paid time off, volunteer time off, 10 holidays and 2 well-being days
- Additional voluntary benefits available
- Comprehensive wellness program