Reviews coding-related provider claims denials by systematically examining medical records, denial ... Completes data points within internal applications to comply with auditing requirements used within ...
Reviews coding-related provider claims denials by systematically examining medical records, denial ... Completes data points within internal applications to comply with auditing requirements used within ...
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Women's Merchant
Carlsbad, CA · On-site
$70K - $90K/yr
Partner with Director of Merchandising on seasonal style line plan creation and maintenance including but not limited to style number creation, color codes, and product variable data coding for PLM ...
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
Senior Data Engineer
Foster City, CA · Hybrid
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
Senior Data Engineer
Foster City, CA · Hybrid
$123K/yr
Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
Senior Data Engineer
Foster City, CA · Hybrid
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
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Prepare summary reporting of the coding review results as requested. * Participate in ongoing discussions concerning data collection and analysis for HEDIS gaps in care. Re-educate providers as ...
Senior Data Engineer
Foster City, CA · Hybrid
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
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... codes in regard to fire life safetyCurrent knowledge in industrial safety best practices (i.e. lockout/tag out, arc flash protection, OSHA and state regulations)Familiarity with data trending ...
Senior Data Engineer
Foster City, CA · On-site
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
Senior Data Engineer
Foster City, CA · On-site
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Progress starts with you. Sr. Data Engineers are responsible for collaborating with stakeholders ... Design code and systems that touch 40% of the world population while influencing Visa's internal ...
HIM Coding Specialist II
$24.31 - $36.46/hr
The coding function is the primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize ...
HIM Coding Specialist II
$24.31 - $36.46/hr
The coding function is the primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize ...
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Visalia, CA · On-site
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We are looking for a Data Engineer having proficiency in SQL coding, Python coding and Spark. Key Responsibilities: * We are looking for a Data Engineer having proficiency in SQL coding, Python ...
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Responsibilities include providing clinical oversight for extramurally-funded projects in the lab; data coding and organization; data analysis and manuscript preparation; and supervising post ...
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Data Coding information
See California salary details
$9.89 - $15.30
21% of jobs
$15.95 is the 25th percentile. Wages below this are outliers.
$15.30 - $20.71
31% of jobs
$20.71 - $26.13
15% of jobs
$30.64 is the 75th percentile. Wages above this are outliers.
$26.13 - $31.54
10% of jobs
$31.54 - $36.96
6% of jobs
$36.96 - $42.37
4% of jobs
$42.37 - $47.78
3% of jobs
$47.78 - $53.20
3% of jobs
$53.20 - $58.61
2% of jobs
$58.61 - $64.03
2% of jobs
$64.03 - $69.44
2% of jobs
$9
$28
$69
How much do data coding jobs pay per hour?
What is a Data Coding job?
What are the key skills and qualifications needed to thrive in the Data Coding position, and why are they important?
What are the typical daily responsibilities of a Data Coding professional?
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Full-time
Posted 5 days ago
Molina Healthcare rating
8.0
Based on 191 frontline employees who took The Breakroom Quiz
145th of 259 rated insurance
Job description
Job Summary
Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations.
Job Duties
- Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered.
- Conducts independent audits of non-medical records to verify billing accuracy, making decisions within designated authority to either overturn or uphold denials in a timely manner.
- Generates and communicates the determination to the provider using appropriate letter language and providing any necessary guideline links.
- Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and track issues to ensure precise code editing and compliance.
- Completes data points within internal applications to comply with auditing requirements used within the departments of Molina.
- Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures.
Job Qualifications
REQUIRED QUALIFICATIONS:
- At least 2 years of experience in medical coding or billing.
- Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
- Strong attention to detail and ability to independently read and comprehend the details of medical records.
- Comfortable working in a production-centric environment with high quality standards.
- Ability to use Microsoft Office including Outlook, Word, and Excel.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980