PI Medical Coding Reviewer II, CPC, RHIT, RHIA required

Role Overview

• Responsible for making claim payments decisions on a wide variety of claims within department standards
• Responsible for researching, analyzing, and making payment decisions on moderately complicated claims
• Collaborates with internal departments to facilitate claim processing and to come to appropriate claim resolutions
• Responsible for supporting provider pre-pay and post-pay teams with coding reviews and clinical documentation reviews

Requirements

• Associate’s degree or equivalent years of relevant work experience is required
• Minimum of three (3) years of medical bill coding is required
• Medicaid/Medicare experience is preferred
• Experience with reimbursement methodology (APC, DRG, OPPS) is preferred
• Excellent written and verbal communication skills

Benefits

• Comprehensive total rewards package
• Health insurance
• Retirement plans
• Paid time off