Coding Compliance Specialist

3 weeks ago


Dallas, United States ClaimReturn LLC Full time
Job DescriptionJob Description

Our Mission:

ClaimReturn is a Client-First environment where all that we do helps make us better as we help to make all we interact with better as well.

#DYK: up to 80% of medical claims contain errors, and all Americans pay the price. ClaimReturn is on a mission to correct these errors, and we're excited to be opening our first office in Dallas in a matter of days As an on-site Coding Compliance Specialist, you'll work with operations to optimize recovery efforts by creating coding edits to bring in overpayments for our clients. This is the perfect opportunity for individuals who enjoy researching, analyzing, interpreting coding, logic, and compliance in a fast-paced work environment. Must be an expert in Excel, reporting knowledge in Power Bi, and good business acumen with detail orientation and professionalism. Experienced team contributor, good initiative, interpersonal skills, sense of humor, and ability to handle pressure required.

This is a critical role that supports ClaimReturn by performing ground truth for logic generation using CMS National Billing / Coding guidelines. Researching and applying up-to-date documentation and guidelines when reviewing case coding and quality compliance. Answers incoming calls with recovery specialists, providers, clients, and general case questions. This position must be able to juggle multiple deadlines and changing priorities. Key areas of responsibility are to conduct research, create flashcards for recovery efforts, assure quality compliance of coding, answer case questions, and validate coding reviews.

Coding credentials, medical coding and knowledge, and advanced skills required. Degree preferred. This role is 100% onsite in Dallas, TX.

Join our team and apply



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