Health Care Service Corporation
Job Summary
Under supervision, this position is responsible for researching and analyzing medical records when there is a discrepancy in coding. Validating the coding and supporting the department in reporting findings. This role audits medical records to ensure compliance with the organization's coding procedures and standards according to CMS coding guidelines and official ICD-9/ICD-10 coding guidelines. Reviews insurance payments and denials and recommends coding corrections. Ability to travel 20-30% of the time, in and out of state. Job Requirements
High School Diploma or GED CPC Coding Certification (CPC, CCS, CCSP) Minimum of 2 years medical coding experience Experience with process management Proficiency in Microsoft Office Strong verbal and written communication skills Analytical skills Ability to travel 20-30% of the time, in and out of state Preferred Qualifications
Associate or Bachelor's degree CRC certification Experience in health insurance or healthcare setting Previous experience with Risk Adjustment coding for Medicare Advantage or Retail Exchange This role is remote in Montana. Salary Expectation: $54,600+ depending on experience. We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway — you might have qualifications we haven't considered. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Employment Statement
HCSC is committed to diversity and providing equal opportunity and affirmative action to all employees and applicants. We are an Equal Opportunity Employer / Affirmative Action employer dedicated to workforce diversity and maintaining a drug-free, smoke-free workplace. Drug screening and background checks are required, as allowed by law. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
#J-18808-Ljbffr
Under supervision, this position is responsible for researching and analyzing medical records when there is a discrepancy in coding. Validating the coding and supporting the department in reporting findings. This role audits medical records to ensure compliance with the organization's coding procedures and standards according to CMS coding guidelines and official ICD-9/ICD-10 coding guidelines. Reviews insurance payments and denials and recommends coding corrections. Ability to travel 20-30% of the time, in and out of state. Job Requirements
High School Diploma or GED CPC Coding Certification (CPC, CCS, CCSP) Minimum of 2 years medical coding experience Experience with process management Proficiency in Microsoft Office Strong verbal and written communication skills Analytical skills Ability to travel 20-30% of the time, in and out of state Preferred Qualifications
Associate or Bachelor's degree CRC certification Experience in health insurance or healthcare setting Previous experience with Risk Adjustment coding for Medicare Advantage or Retail Exchange This role is remote in Montana. Salary Expectation: $54,600+ depending on experience. We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway — you might have qualifications we haven't considered. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Employment Statement
HCSC is committed to diversity and providing equal opportunity and affirmative action to all employees and applicants. We are an Equal Opportunity Employer / Affirmative Action employer dedicated to workforce diversity and maintaining a drug-free, smoke-free workplace. Drug screening and background checks are required, as allowed by law. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
#J-18808-Ljbffr