[Hiring] Coding Claims Specialist @CentraCare

Role Description

Find your purpose as a Coding Claims Specialist at CentraCare! The Coding Claims Specialist supports Revenue Cycle Operations, Coding Leadership, and other team members by reviewing electronic and written documentation to convert into diagnostic and/or procedure codes that supports timely and accurate reimbursement. The position shares responsibility and accountability for managing denials for third-party payers, which includes overseeing the denial process and continually working to identify opportunities for workflow improvements. Professional will communicate with clinical staff to allow for accurate translation of medical record documentation using appropriate code selection (ICD CM, CPT/HCPCS).

The Coding Claims Specialist may assist in performing quality data collection and monitoring/reporting. The individual within this role will help ensure that CentraCare is properly reimbursed for the professional and/or facility services it provides. Safeguards patient privacy and confidentiality.

• Schedule: Full-time 80 hours every 2 weeks
• Monday-Friday Days
• 100% remote work

Qualifications

• High School Diploma or GED or equivalent required.
• 3 years previous coding or billing experience with current AAPC or AHIMA certification or 5 years previous coding or billing experience without current AAPC or AHIMA certification.
• Registered Health Information Technician (RHIT) Current certification with AAPC or AHIMA preferred.
• 1 year experience in a medical office preferred.
• Experience in ICD-10 and CPT coding preferred.
• Computer knowledge and keyboard skills preferred.
• Previous experience working with EPIC preferred.
• Working knowledge of insurance and third-party billing preferred.
• Completion of college level courses or relevant experience in anatomy and physiology and medical terminology required; Associate Degree preferred.
• Completion of coding course in ICD, CPT4, and HCPCS required.

Requirements

• Starting pay is $23.29 per hour; exact wage determined by years of related experience.
• Pay range: $23.29-$34.94 per hour
• Full time benefits: medical, dental, PTO, retirement, employee discounts and more!
• Tuition reimbursement and college grant programs available.

Company Description

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.