Certified Coding Specialist/Certified Inpatient Coder (WFH)
- Public - Responsibilities
- Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers.
- Proactively identify overpayments to ensure accurate claims payments on inpatient services.
- Participate in collaborative discussions with MDs to verify the clinical rationale behind billed procedures.
- Communicate effectively while building trust and lasting partnerships both laterally and vertically across multi-discipline teams.
- Communicate effectively both internally and externally to ensure accurate claims adjudication and proper provider notification.
- Public - Required Skills
- You hold a CCS or CIC certification; required.
- Knowledge of DRG pricing methodology; required.
- You have 1-2 years of experience in inpatient clinical coding; preferred
- Medicare or Medicare Advantage payment integrity or claims operations experience; preferred
- You are technologically savvy with strong computer skills in Excel and PowerPoint.
- Public - Preferred Skills
- You hold a CCS or CIC certification; required.
- Knowledge of DRG pricing methodology; required.
- You have 1-2 years of experience in inpatient clinical coding; preferred
- Medicare or Medicare Advantage payment integrity or claims operations experience; preferred
- You are technologically savvy with strong computer skills in Excel and PowerPoint.
Public - Schedule/Shift
EST Hours 8-5
Pay: $38.00 - $48.00 per hour
- Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Application Question(s):
- Do you have an active CCS or CIC certification?
- Do you have any experience with inpatient auditing and coding for payer side or insurance companies?
Work Location: Remote
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