SPE-Medical Coding HC

Job Summary

Seeking a medical coder who is able to process back-end coding claim edits.

Responsibilities

Review and troubleshoot problematic/denied claims errors- investigate and correct/rebill claims electronically

Research claim/account and medical documentation to determine claim and billing errors

Must adhere to production and quality standards

Extensive knowledge of CPT HCPCS procedure code and ICD-10 coding methodologies

Knowledge of hospital billing requirements including UB04 revenue codes CCI and MUE edits

Payer reimbursement policies rules and regulations medically necessity criteria and applicable industry standards

Certifications Required

CPC