Spectraforce Technologies
Columbia, SC, USA
Job Title: Medical Coding Specialist (part time) Client Location: Columbia, SC | 29203 Work environment: Remote with occational onsite Duration: 3 months assignment with possible conversion Shift Schedule: 25 flexible hours per week Job Description: Reviews medical documentation to perform a variety of coding validations for multiple lines of business under Medicare/TRICARE to determine accuracy of billing and payment. Reassigns and sequences diagnostic and procedural codes using universally recognized coding system as appropriate. Compiles and analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments. Key Responsibilities: 60% Determines methodology to identify cases for DRG, HIPPS, HCPCS, RUG, and APC validation. Conducts targeted coding, documentation reviews, and validation reviews coordinating rate adjustments and adjudication of corresponding...