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Coder/Analyst position: CCI holds / Failed Claim Edits Project

Location: Remote, Nationwide
Job # 3053313
Date Posted: 10-08-2013
Coder/Analyst position:  CCI holds / Failed Claim Edits Project
 
Health Information Partners "HIP" seeks experienced coder analysts for CCI holds / Failed Claim Edits Project with part-time and/or full-time availability.
2-3 years experience. Work will be conducted remotely, flexible work hours. Home computer necessary.
 
Skill Set Required:
 
  • Working knowledge of CPT-4 codes, HCPCS Level II codes and modifiers
  • Experience locating documentation in the medical record
  • In depth knowledge of coding for drug administrations (injections and infusions) including understanding the coding hierarchy—over 50% of the claims reviewed require this at a minimum
  • Ability to resolve CCI edits—understanding when to append a modifier or adjust a charge(s)
  • Understanding of CDM driven codes vs. HIM assigned codes
  • Prior billing experience or general familiarity with the UB04 claim form
  • General knowledge of payer requirements / regulations
  • Familiarity with or ability to research in the NCCI Policy Manual and Medicare Manuals
Credential(s) Required:
 
AHIMA or AAPC coding credential required
 
Additional Information:
 
Knowledge of inpatient coding is not required, nor is knowledge of diagnostic coding. 

Please apply below.

 
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