Senior Inpatient Facility Coding Specialist
2 weeks ago
We are seeking a highly skilled and experienced Senior Inpatient Facility Coding Specialist to join our team at TriWest Healthcare Alliance. As a key member of our coding team, you will be responsible for conducting retrospective medical claims review for coding and pricing determinations, as well as coding review for inpatient claims.
Key Responsibilities- Serve as a subject matter expert on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding of medical claims.
- Take the lead role for coding projects as directed by Clinical Operations management.
- Provide training and mentoring for new and existing Clinical Coders.
- Perform medical claims coding reviews using current coding guidelines.
- Identify and report potential fraudulent or quality issues.
- High School Diploma or GED.
- Current certification as Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Professional Coder.
- U.S. Citizen.
- Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
- Minimum 5 years of clinical coding experience for facility and/or professional accounts.
- Minimum 3 years of claims processing experience for inpatient and/or outpatient accounts.
- Experience in the private medical industry, health insurance or Managed Care field.
- Familiarity with TRICARE and the military healthcare delivery system.
Availability to work any shift. Ability to work independently from home (Remote). Extensive computer work with prolonged sitting.
BenefitsWe offer a comprehensive and progressive compensation and benefits package, including medical, dental, and vision coverage, generous paid time off, 401(k) retirement savings plan, short-term and long-term disability, basic life, and accidental death and dismemberment insurance, tuition reimbursement, and paid volunteer time.
*Annual base salary for Colorado, Hawaii, Washington D.C. and Washington State residents: $73,000- $94,000 depending on experience*
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