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Claims Editor, Denials Coder – Part Time
e4healthMedical Coding Edit Specialist at e4health resolving coding account edits for multiple patient types prior to billing. Ensuring compliance and maintaining high accuracy in coding processes.
About the role
Key responsibilities & impact- The Medical Coding Edit Specialist position is responsible for resolving coding account edits of multiple patient types prior to billing
- Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes as appropriate from the documentation within the electronic medical record
- The Coding Edit Specialist is expected to maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
- Reconcile held accounts by resolving the edit and dropping the account
- Responsible for all account edits from various payors and vendors
- Identify and report major edit issues
- Assist in identifying problems and resolution thereof
- Identify opportunities to reduce coding edits by providing proactive education
- Communicates quality issues to management as appropriate
- Notifies management when there is a compliance concern or incident
- Demonstrates knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information
- Promotes confidentiality and using discretion when handling patient information
- Attends educational conference calls
- Provides additional support to the business as needed
- Maintains required productivity and quality requirements
- Maintains coding credential requirements
Requirements
What you’ll need- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 2 years’ coding experience preferred
- Must have up to date knowledge of third-party rules and regulations
- Epic & 3M experience preferred
- Must have facility (HB) IP/OP experience with Claims/Denials
Benefits
Comp & perks- excellent salary
- full benefits package including 401(k) with company match and discretionary profit sharing
- group medical, dental, vision, life, & short-term disability insurance
- PTO policy
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
ICD-10-CMCPTHCPCS Level II Codescoding account editsclaims processingdenials managementcoding accuracycoding productivityproblem resolutionproactive education
Soft Skills
communicationattention to detaildiscretionconfidentialityproblem-solvingorganizational skillsteam collaborationtime managementadaptabilityquality assurance
Certifications
AHIMA coding credentialAAPC coding credential