Large managed care company looking to fill a contract to hire role for a Remote Certified Medical Coder position.
Review Pre-Pay Professional M&R, C&S and E&I cases to mitigate wasteful and erroneous billing. Investigate, prevent payment when appropriate and resolve cases. Gather and analyze all necessary information and documents related to the investigation. Review claim and case history and compare medical documentation against procedural codes billed.
• High School Diploma / GED (or higher)
• 2+ years of experience with claims auditing and researching claims information
• 1+ years of experience analyzing data and identify cost saving opportunities
• Experienced Certified Coder
• Experience working with medical claims platforms
• Experience in healthcare
• Experience with Claims Payment Accuracy
• Experience with Recovery of Claims Payments
• Experience with Develop / Manage / Maintain Internal and External Relationships
• Knowledge of Internal and External Policies, Laws and Regulations
Hours: 8-4:30 CST