2 pro fee coder jobs found

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start  Caring. Connecting. Growing together. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

**Onsite position** SUMMARY: Assist in the oversight of the day-to-day operations of the billing department; including but not limited to staffing, training and customer complaint resolution. Implements and maintains policies and procedures. Interacts with PPO Networks and TPA Payers on contractual issues, education of codes, and reimbursements. Ensures CPT and ICD-10 codes are current in all systems. Works with credentialing office regarding ID # for new radiologist. May perform other job related duties as necessary for the efficient operation of SDMI. Key Responsibilities Assist with daily oversight of billing department operations, including staff support and workflow management  Support hiring, training, and ongoing development of billing team members  Address and resolve customer billing inquiries and complaints in a timely, professional manner  Implement, maintain, and enforce billing policies and procedures  Collaborate with PPO networks and TPA payers...