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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