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Claims Edit Coder Jobs in Alabama (NOW HIRING)

... charges, edit claims, and work all assigned work queues within EHR system. Credentials with Equivalent Qualifications: Nonessential: * Certified Professional Coder Education with Equivalent ...

Coding Certification preferred; * Working knowledge of computers. LANGUAGE/ COMMUNICATION SKILLS ... Provides follow up on claims which did not process correctly; * Provides follow up with insurance ...

Revenue Specialist I

Dothan, AL · On-site

$75K - $75K/yr

Coding Certification preferred; * Working knowledge of computers. LANGUAGE/ COMMUNICATION SKILLS ... Provides follow up on claims which did not process correctly; * Provides follow up with insurance ...

Summary Performs daily activities involved in the reimbursement process, i.e. claims filing ... Works closely with coding team for accurate submission on claim; * Process and follow up on payer ...

Summary Performs daily activities involved in the reimbursement process, i.e. claims filing ... Works closely with coding team for accurate submission on claim; * Process and follow up on payer ...

Summary Performs daily activities involved in the reimbursement process, i.e. claims filing ... Works closely with coding team for accurate submission on claim; * Process and follow up on payer ...

Junior Business Analyst

Huntsville, AL · On-site

$26 - $35/hr

Draft, edit, and distribute communication products including announcements, presentations ... Native Claims Settlement Act, in accordance with Title 43 U.S. Code 1626(g). EEO STATEMENT ...

Junior Business Analyst

Huntsville, AL

$26 - $35/hr

Draft, edit, and distribute communication products including announcements, presentations ... Native Claims Settlement Act, in accordance with Title 43 U.S. Code 1626(g). EEO STATEMENT ...

Claims Edit Coder information

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What cities in Alabama are hiring for Claims Edit Coder jobs?

Cities in Alabama with the most Claims Edit Coder job openings:

Triage Specialist

Children's of Alabama

Birmingham, AL • On-site

Full-time

Posted 9 days ago


Children's Of Alabama rating

6.5

Company rating: 6.5 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

723rd of 1,061 rated hospitals


Job description

In Behavioral Health Outpatient at Main Campus Dearth Tower
Work schedule will be Full-time on the Day Shift, 8a-430p.
Summary:
Perform non-clinical triage of patients to be scheduled to ensure appropriate provider placement, communicate with caregivers for scheduling and rescheduling, support providers schedules and templates, verify insurance benefits and eligibility, review charges, edit claims, and work all assigned work queues within EHR system.
Perform non-clinical triage of patients to be scheduled to ensure appropriate provider placement, communicate with caregivers for scheduling and rescheduling, support providers schedules and templates, verify insurance benefits and eligibility, review charges, edit claims, and work all assigned work queues within EHR system.
Credentials with Equivalent Qualifications:
Nonessential:
* Certified Professional Coder
Education with Equivalent Qualifications:
Essential:
* High School Diploma Graduate or Equivalent
Experience with Equivalent Qualifications:
Essential:
* 1 Year job experience as Staff Level with specialization in the field of Administrative or Clerical
Children's of Alabama has two Behavioral Health outpatient clinics; one location is the Ireland Center (on the campus of Children's of Alabama Hospital) and the other location is an offsite location at Patriot Park, 200 Wildwood Parkway Birmingham, AL 35209.Our treatment team is comprised of Psychiatrists, Nurse Practitioners, Licensed Psychologists, and Licensed Therapists to provide multidisciplinary care for our patients and families.Our outpatient clinics offer individual and family counseling for children, adolescents and their families. Our providers work with patients and families to address and mitigate behavioral and mental health issues including, but not limited to ADHD, mood disorders, and medication management for related disorders. We provide crisis clinic appointments for those patients assessed in the ED to be in need of urgent outpatient services, but do not meet inpatient or PHP admission criteria. In addition, we offer bridge clinic appointments to existing patients who have missed the most recent appointment with their prescriber or who have an urgent need to see a prescriber before the next scheduled appointment. We provide social service counseling that provides brief solution focused support to families as well.

What Children's Of Alabama employees say

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About Children's of Alabama

Sourced by ZipRecruiter

Since 1911, Children’s of Alabama has provided specialized medical care for ill and injured children. Ranked among the best children’s hospitals in the nation by U.S. News & World Report, Children’s serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children’s offers inpatient and outpatient services at its Russell Campus on Birmingham’s historic Southside with additional specialty services provided at Children’s South, Children’s on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children’s is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. The medical staff consists of UAB faculty and Children’s full-time physicians as well as private practicing community physicians. Our staff is committed to providing the finest pediatric healthcare to all children. We built our legacy on our core values of trust, teamwork, compassion, innovation and commitment. We know that every time we come through these doors we will live up to our high standards as we work to make a difference in children's lives. You've chosen a career that’s all about care. If you want to make a difference the life of children and their families, if you want to advance in your profession, if you appreciate good benefits, and want to work with outstanding medical professionals in a variety of areas, then Children’s of Alabama is where you belong.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1911

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