7 claims edit coder jobs found

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Medical Coding Auditor is responsible for researching and resolving grievances and appeals within the commercial line of business, applying advanced adjudication expertise, clinical...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Compensation: $20.40 - $25.50 per hour (based on years of experience) Overview The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Responsibilities Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. Process and input billings accurately in the practice management...

Job Description Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Provides supervision, coaching and support to Claim Support staff. Establishes goals, procedures and provide direction to ensure prompt and accurate...

Compensation: $20.40 - $25.50 per hour (based on years of experience) Summary: The Certified Senior Coder reviews providerservice records to ensure accurate coding for all services to maximizereimbursement and meet coding requirements from insurance carriers andregulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: 1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, andembrace the principles contained within. 2. Codes services correctly; understands andappropriately uses all CPT, ICD-10 and modifiers. Understands and follows allbundling edits. 3. Ensures that documentation supports chargesbilled, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. 4. Process and input billings...