• Job Description

  Req#: R-0047546
  Employer Industry: Healthcare Services
  
  Why consider this job opportunity:
  - Opportunity for career advancement and growth within the organization
  - Work remotely from Wisconsin or Minnesota
  - Supportive and collaborative work environment
  - Chance to make a positive impact on patient care through quality auditing
  - Regular full-time position with a structured schedule (Mon-Fri, day shifts)
  
  What to Expect (Job Responsibilities):
  - Perform payment, procedural accuracy, turnaround time, compliance, and operational audits as directed by management
  - Apply effective audit procedures in collecting, analyzing, and reporting findings
  - Ensure adherence to regulatory standards and internal policies in claim processing
  - Collaborate with team members to resolve issues related to claims
  - Maintain up-to-date knowledge of coding standards and healthcare regulations
  
  What is Required (Qualifications):
  - High school diploma or equivalent
  - Minimum of three years’ experience in health insurance claim processing
  - Three years’ experience related to CPT/HCPCS and current ICD coding
  - Proficiency with analytical problem-solving, written and oral communications, and the Microsoft Office Suite
  - Certified Professional Coder (CPC) or Certified Professional Coder – Payer (CPC-P) certification awarded by the American Academy of Professional Coders (AAPC) within three years of hire
  
  How to Stand Out (Preferred Qualifications):
  - Associate degree in business, medical, or a related field
  - One year of experience in claims auditing
  - Certified Professional Coder (CPC) or Certified Professional Coder – Payer (CPC-P) certification at the time of hire
  
  #HealthcareServices #ClaimsAuditor #RemoteWork #CareerOpportunity #HealthcareCompliance
  
  We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
  We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

• About the company

  Marshfield Clinic Health System is an integrated health system serving Wisconsin founded in 1916.

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