MultiPlan

  • Atlanta, GA, United States
MultiPlan McLean, VA
JOB SUMMARY : The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4,...

MultiPlan McLean, VA
MultiPlan is seeking a Medical Coding Specialist to analyze claims, apply ICD-10-related standards, and ensure compliant billing practices. The role involves cross-border reviews and awareness of international coding norms to support global operations. The successful candidate will review diverse claims, research itemized bills, and collaborate across departments while maintaining HIPAA and GDPR/PIPEDA data protections. #J-18808-Ljbffr