Remote Jobs
Medical Claims Analyst
This job is now closed
Job Description
- Req#: 690110
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
#HealthcareTechnology #CareerOpportunity #CompetitivePay #CuttingEdgeTechnologies #DiverseTeam
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
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.