Certified Medical Coding Coordinator

A company is looking for a Claims Coding Coordinator.

Key Responsibilities

Conduct ongoing data analysis from medical record reviews to enhance provider documentation and coding

Participate in regulatory audit training and ensure compliance with CMS coding guidelines

Process both commercial and Medicare claims accurately and manage claims edits in the Optum edit system

Required Qualifications

High school diploma or equivalent

Certified Coding Specialist (CCS), Certified Professional Coder-Apprentice (CPC-A), or Certified Professional Coder (CPC) certification

One year of health insurance claims-related experience

Three years of healthcare-related experience

Advanced acumen of ICD 10 and diagnostics coding preferred