Pre-Pay Coding Dispute Analyst

Molina Healthcare; Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization in Scottsdale seeks a professional to support provider appeals by investigating disputes and ensuring compliance with coding standards. The ideal candidate will have at least 2 years of medical coding or billing experience and hold a valid CPC or CCS certification. Responsibilities include auditing claims, addressing billing inaccuracies, and enhancing departmental processes. This role offers a competitive hourly pay between $21.82 and $42.55, depending on experience and skills.

Qualifications

• At least 2 years of experience in medical coding or billing.
• Active certification as CPC or CCS.
• Strong ability to comprehend medical records.

Responsibilities

• Review coding-related provider claims denials for accuracy.
• Conduct audits of non-medical records to verify billing.
• Communicate audit determinations to providers.
• Document coding errors and collaborate on solutions.
• Complete data points for auditing requirements.

Skills

Medical coding expertise

Attention to detail

Regulatory compliance

Microsoft Office proficiency

Education

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)

Job description

A healthcare organization in Scottsdale seeks a professional to support provider appeals by investigating disputes and ensuring compliance with coding standards. The ideal candidate will have at least 2 years of medical coding or billing experience and hold a valid CPC or CCS certification. Responsibilities include auditing claims, addressing billing inaccuracies, and enhancing departmental processes. This role offers a competitive hourly pay between $21.82 and $42.55, depending on experience and skills.