Coding Quality Analyst - Remote

Freddie Mac; Plymouth (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a certified clinician for a remote coding position. This role focuses on ensuring the accuracy of medical coding and compliance with federal regulations. Candidates must possess a high school diploma and relevant coding certifications, along with experience in a collaborative environment. Comprehensive benefits and opportunities for career advancement are offered.

Benefits

Comprehensive benefits package

Opportunity for career advancement

On-the-job training for 2 weeks

Qualifications

• 2+ years of experience as certified coder with CPT/HCPCS/ICD-10/CM/PCS coding experience.
• 1+ years of experience in a team atmosphere in a metric-driven environment.

Responsibilities

• Perform clinical review of codes on claims in a telecommuting work environment.
• Determine accuracy of medical billing and compliance with policies.
• Provide detailed clinical narratives on case outcomes.

Skills

Medical coding

Analytical skills

Teamwork

Intermediate experience with Microsoft & Adobe applications

Education

High School Diploma / GED

Certified Coder AHIMA (CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I) or Licensed Nurse (RN, LPN)

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $xx.xx per hour based on full-time employment
- Comprehensive benefits package including equity stock purchase and 401k contributions
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Engaging and collaborative work environment
- On-the-job training provided for 2 weeks

What to Expect (Job Responsibilities):
- Perform clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment
- Determine the accuracy of medical coding/billing and payment recommendations for claims
- Provide detailed clinical narratives on case outcomes and perform claim recoding
- Ensure adherence to state and federal compliance policies and identify aberrant billing patterns
- Serve as a clinical resource to other areas within the clinical investigative team

What is Required (Qualifications):
- High School Diploma / GED
- Certified Coder AHIMA (CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I) or Licensed Nurse (RN, LPN) with unrestricted license
- 2+ years of experience as an AHIMA or AAPC Certified coder with 2+ years of CPT/HCPCS/ICD-10/CM/PCS coding experience
- 1+ years of experience working in a team atmosphere in a metric-driven environment
- Intermediate experience with Microsoft & Adobe applications (Outlook, Power Point, Word, Excel, OneNote, Teams, PDF)

How to Stand Out (Preferred Qualifications):
- Healthcare claims processing experience
- Experience with Fraud Waste & Abuse or Payment Integrity
- Proven analytical mindset working with medical terminology or coding

#HealthcareServices #RemoteWork #CareerGrowth #ComprehensiveBenefits #CodingExpertise

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."