Employer Industry: Healthcare Services

Why consider this job opportunity:
- Hybrid work model allowing for both remote and onsite work based on business needs
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment with focus on professional relationships
- Strong emphasis on maintaining confidentiality and adherence to HIPAA guidelines
- Chance to contribute to process improvement and coding accuracy in medical billing

What to Expect (Job Responsibilities):
- Review processed claim runs from the TPA (Request For Funds, or RFFs)
- Process invoiced services for proper coding, eligibility, and appropriate services
- Identify coding discrepancies and formulate suggestions for improvement
- Communicate audit results/findings to providers and ancillary staff, sharing improvement ideas
- Work with provider leadership to identify and assist providers with coding

What is Required (Qualifications):
- Minimum educational requirement: Associate's degree in a related field
- Minimum of 4 years of experience in a medical office billing or payor of medical services claim environment
- Strong attention to detail and accuracy
- Excellent verbal and written communication skills
- Proficiency in the use of computer and commonly used software, including Microsoft Office Suite

How to Stand Out (Preferred Qualifications):
- Bachelor's degree in a related field
- 4+ years of experience in medical office billing or payor of medical services claim environment
- Certified Professional Coder (CPC) or other recognized medical coding certification
- Successful completion of a medical terminology course and coding specialist assessment

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