Senior Inpatient Facility Coder
4 weeks ago
Job Summary
We are seeking a highly skilled and experienced Inpatient Facility Coder 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 and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Key Responsibilities
- Serves as the subject matter expert and resource on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding of medical claims.
- Takes the lead role for coding projects as directed by Clinical Operations management.
- Provides training and mentoring for new and existing Clinical Coders.
- Performs medical claims coding reviews using current coding guidelines.
- Identifies and reports potential fraudulent or quality issues.
Requirements
- 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.
Benefits
- Medical, Dental and Vision Coverage.
- Generous paid time off.
- 401(k) Retirement Savings Plan (with matching).
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
- Tuition reimbursement.
- Paid volunteer time.
Equal Employment Opportunity
TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourage candidates from all backgrounds to apply.
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