Certified Coder
Simsy Ventures
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Support medical review activities through complex coding validations
- Perform complex coding validations for accuracy reviews, disputes/disagreements, special studies, and review topic proposals
- Contribute documentation and analysis for coding validation deliverables
- Participate in quality assurance activities to ensure accuracy of coding determinations
Requirements
- High School Diploma required
- Associate degree or higher preferred
- Certification from an accredited organization (AAPC or AHIMA)
- Minimum of five (5) years of direct coding or billing experience
- Five (5) years of Diagnosis-Related Groups (DRG) validation experience required
- Extensive knowledge of the Medicare program
- Working knowledge of CMS Fee-for-Service (FFS) Recovery Audit Contractor (RAC) Program requirements
Benefits
- Reasonable accommodations are available for applicants with disabilities
- Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
coding validationsaccuracy reviewsdispute resolutiondocumentation analysisquality assuranceDiagnosis-Related Groups (DRG) validationbilling experienceMedicare program knowledgeCMS Fee-for-Service (FFS)Recovery Audit Contractor (RAC) Program requirements
Certifications
AAPC certificationAHIMA certification