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2 дня назад

Coding Specialist (Healthcare Coding)

45 761 - 73 217$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Coding Specialist (Healthcare Coding): Analyzing medical records and provider coding to evaluate documentation, identify complex coding patterns, and report relevant data to CMS with an accent on HCC payment methodology, claims review, and compliance. Focus on reviewing clinical documentation, facilitating medical record audits with providers, and maintaining accurate audit tracking in a regulated healthcare environment.

Location: Remote Flex - North Carolina, United States

Salary: $45,761.00–$73,217.00 annually

Company

hirify.global provides health insurance and healthcare-related services.

What you will do

  • Analyze medical records and charts to evaluate the appropriateness of provider coding.
  • Identify complex coding patterns and report relevant data to the Centers for Medicare and Medicaid Services.
  • Apply CMS Hierarchical Condition Category payment methodology and related compliance requirements.
  • Build professional working relationships with medical providers and their staff to facilitate medical record reviews.
  • Maintain documentation tracking audit results and review status.

Requirements

  • High school diploma or GED.
  • At least 3 years of experience in a related field.
  • Certified Professional Coder credential.
  • Experience reviewing and assigning medical codes, preferably in health insurance, claims, payment integrity, or reimbursement.
  • Strong understanding of Emergency Department coding and medical claim review processes.
  • Ability to work remotely from North Carolina.

Nice to have

  • Experience working independently while maintaining productivity and accuracy.
  • Experience in a fast-paced, production-oriented environment with continuous change.
  • Experience working under quality review standards focused on accuracy and compliance.

Culture & Benefits

  • Flexible work environment with an emphasis on work-life balance and autonomy.
  • Medical, dental, and vision coverage.
  • Health and wellness programs.
  • Parental leave, adoption assistance, and surrogacy assistance.
  • Career development programs and tuition reimbursement.
  • 401(k) match, annual company contribution, paid time off, and potential annual incentive bonus.

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