2 jobs found in Indiana

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding practices meet state, federal, and company requirements, reviewing records for accuracy and identifying billing issues. Required CPC certification, 3+ years of coding or auditing experience, and proficiency with CPT/HCPCS/ICD-10; strong Excel/Word skills are essential. #J-18808-Ljbffr

Job Description: Skills and abilities Auditing experience on IP DRG. Knowledge in Microsoft outlook/excel/word. Exposure on 3M software and NLP tool. Responsibilities: ADDITIONAL AND ESSENTIAL RESPONSIBILITIES Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends... Update all the logs like productivity, Clarification log, and any other logs applicable, daily Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA, OIG Good excel skills Flexibility Good Communication Qualifications Qualifications: Bachelors in nursing (preferable) / Bachelors in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minimum 2 years’ experience in IP DRG coding or auditing....