Claims Review Specialist / Medical Coding ** Largely Remote **

Amerit Consulting; Los Angeles (CA); Hybrid; USD 50,000 - 80,000; Full time

Job summary

Join a dynamic and rapidly growing staffing and consulting firm as a Claims Review Specialist / Medical Coding. This largely remote role emphasizes your expertise in medical coding and claims review, where you will play a crucial part in ensuring the accuracy of provider information within managed care systems. With a commitment to employee satisfaction, the organization offers a supportive environment that encourages professional growth and development. If you're passionate about making a difference in healthcare and thrive in a fast-paced setting, this position could be your next rewarding opportunity.

Qualifications

• 3+ years experience in Health Plans or Managed Care Organizations.
• CPC, CPCH, or CCS certification required.

Responsibilities

• Verify and maintain provider information in managed care systems.
• Ensure high accuracy in data entry for managed care transactions.

Skills

Customer Service Skills

Organizational Skills

Data Entry Accuracy

Interpersonal Skills

Ability to Learn New Technologies

Education

High School Diploma or GED

Two-Year Degree

Tools

EPIC (Tapestry Module)

EZ Cap

Facets

QNXT

Microsoft Excel

Microsoft Word

Job description

Claims Review Specialist / Medical Coding ** Largely Remote **

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of the largest health delivery systems in California, seeks an accomplished Claims Review Specialist / Medical Coding.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

*** Duration: 13 - 24 weeks contract with the possibility of extensions ***

Notes:

• Hybrid role but mostly remote.

Qualifications:

• High school diploma, GED or equivalent required, two-year degree preferred.
• At least one of these 3 certifications: CPC, CPCH or CCS.
• Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization.
• Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system.
• Working knowledge of one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT.
• Working knowledge of CPT-4, ICD-9/ICD-10, and HCPCS codes.
• Must have the ability to interpret a variety of instructions furnished in written, oral, diagram and schedule form including provider contracts and contract summaries.
• Ability to adhere to detailed data entry procedures in a complex Managed Care Transaction System with high accuracy for alpha and numeric data inputting.
• Strong organizational skills and the ability to manage aggressive timelines and prioritize multiple concurrent tasks while maintaining high quality standards.
• Proficient computer skills including Microsoft Excel and Word. Competence in navigating the internet.
• Excellent customer service and interpersonal skills, with an ability to work with internal and external representatives.
• Willingness to learn new technologies, practices, and procedures.

I'd love to talk to you if you think this position is right up your alley. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Lead Technical Recruiter

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and