Florida Blue

Florida Blue - PrePay Medical Coder, COC, CPC - Remote


PayCompetitive
LocationRemote
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 33438
      Employer Industry: Healthcare Insurance

      Why Consider this Job Opportunity:
      - Salary up to $101,500
      - Opportunity for career advancement and growth within the organization
      - Comprehensive benefits package including medical, dental, vision, and life insurance
      - Retirement savings plan with employer contribution and match
      - Paid time off, volunteer time off, and 11 holidays
      - Comprehensive wellness program

      What to Expect (Job Responsibilities):
      - Analyze high risk and/or high dollar claims to ensure accurate payment
      - Review medical documentation to validate billing appropriateness
      - Ensure claims processing compliance with regulations and guidelines
      - Document identified issues to support claim adjustments
      - Participate in special projects to support process changes

      What is Required (Qualifications):
      - 4+ years of related work experience
      - Strong familiarity with coding and claims processing
      - Knowledge of medical terminology, provider contracts, and claims processing procedures
      - Proficiency in Diamond software
      - Excellent oral and written communication skills

      How to Stand Out (Preferred Qualifications):
      - Strong analytics experience
      - Consulting experience
      - Ability to read and interpret medical records
      - Clinical experience

      #HealthcareInsurance #CareerOpportunity #CompetitivePay #BenefitsPackage #WellnessProgram

      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

      Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Explore our medical, dental, and Medicare health care plans.

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