Claims Edit & Denials Coder

This is a fully remote position, open to applicants in North America.

📋 Description

• Accountable for addressing coding account edits for various patient types before billing.

• Duties include assigning and/or rectifying codes and modifiers using ICD-10-CM, CPT, and HCPCS Level II Codes.

• Ensure a consistent accuracy rate of 90% or higher while achieving set productivity standards.

• Reconcile accounts that are on hold by resolving edits and finalizing the account.

• Oversee all account edits from different payors and vendors.

• Identify and report significant edit issues.

• Aid in pinpointing problems and their resolutions.

• Spot opportunities to minimize coding edits through proactive education.

• Communicate quality concerns to management as necessary.

• Meet the required productivity and quality standards.

• Uphold coding credential requirements.

⛳️ Requirements

• Candidates must hold an approved coding credential from AHIMA or AAPC.

• Preferred minimum of 2 years of coding experience.

• Must possess current knowledge of third-party rules and regulations.

• Experience with Epic & 3M is preferred.

• Facility (HB) IP/OP experience with Claims/Denials is required.

🏝️ Benefits

• 401(k) plan with company matching and discretionary profit sharing.

• Group medical, dental, vision, life, and short-term disability insurance.

• Paid Time Off (PTO) policy.