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About the role
Key responsibilities & impact- Perform daily audits on provider appeals for completeness and accuracy
- Apply client specific coding guidelines when applicable
- Use Cotiviti applications to process CV appeals
- Review quality feedback from QA
- Professionally communicate findings and suggestions to Team Lead
- Complete all responsibilities as outlined on annual Performance Plan
- Provide teaching, mentoring and/or oversight on appeal categories
Requirements
What you’ll need- High School Diploma or GED required
- Nationally certified medical coder (CPC, CCS, etc.)
- At least 1-2 years of medical coding experience
- Experience in CPC coding required
- Adherence to official coding guidelines
- Excellent written and verbal skills
- Strong knowledge of medical terminology and anatomy and physiology
- Skills in organization and time management
- Ability to read and understand medical record documentation
- Computer and technology literate
- Ability to manage and meet deadlines
- Must participate in any required training
Benefits
Comp & perks- Medical, dental, vision, disability, and life insurance coverage
- 401(K) savings plans
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year depending on specific level and length of service
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingCPC codingadherence to coding guidelinesmedical terminologyanatomy and physiologyauditingappeals processingquality feedback reviewdocumentation analysis
Soft Skills
written communicationverbal communicationorganizationtime managementmentoringteachingprofessionalismteam collaborationdeadline management
Certifications
CPCCCSNationally certified medical coder
