Employer Industry: Healthcare Technology

Why Consider this Job Opportunity:
- Competitive salary up to $80,000
- Opportunity for career advancement and growth within the organization
- Medical, Dental, and Vision benefits provided
- Work in a flat organizational structure with direct access to Leadership
- Join a diverse team working on cutting-edge technologies to make a major impact on U.S. healthcare

What to Expect (Job Responsibilities):
- Combing through UB-04/IB's for any potential coding/billing violations
- Auditing revenue codes against clinical documentation
- Confirmation of services billed were actually rendered
- Clear documentation of inconsistencies with claims billed vs health plan payments
- Confirming automatic audit results based on national and payer-specific guidelines

What is Required (Qualifications):
- FACILITY INPATIENT CODING/AUDITING EXPERIENCE REQUIRED
- Deep background in medical billing, coding, or auditing of insurance claims and medical records
- Experience working with national guidelines such as CPT codes, ICD-9/10, HCPCS codes, POS codes, DRGs, APCs, and other code sets and the translation of written clinical information into auditable clinical content
- Knowledge of hospital-based billing/coding
- Knowledge of PHI/HIPAA compliance and standards
- Minimum of 1 year of auditing experience
- At least one of the following certifications is mandatory (CPC/COC/CIC/CRC/CPMA/RHIT/RHIA)

How to Stand Out (Preferred Qualifications):
- 0-2 years of experience as an Rx Technician or Customer Service Representative in a healthcare-related service

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