Sierra Solutions Group
United States
Summary We are looking for experienced Certified Medical Coders, specializing in payer-side healthcare operations. If you have a robust background in medical coding, claims, benefits, and healthcare reimbursement, and thrive in a fast-paced environment, we want to hear from you. This role offers the opportunity to work with a dedicated team to ensure accuracy and compliance in coding practices, contributing to the efficiency of healthcare claims and benefits administration. Responsibilities Perform and review medical coding activities, including CPT, HCPCS, ICD-10-CM, and related methodologies. Review medical claims and supporting documentation for coding accuracy and compliance. Apply payer-specific coding, reimbursement, and claims-processing guidelines. Identify and resolve coding discrepancies, inconsistencies, and potential billing issues. Interpret medical records, provider documentation, and benefit plans. Collaborate with claims, clinical, benefits, and...