CPC Certified Claims Coder

Job Summary

A company is looking for a Claims Resolution Coder to review medical documentation and assign modifiers to insurance claims.

Key Responsibilities

• Review medical documentation to assign modifiers to insurance claims based on coding guidelines
• Collaborate with Coding, Billing, and Reimbursement staff to resolve edits and improve coding accuracy
• Research regulations to ensure the accuracy of CPT codes and documentation

Required Qualifications, Training, and Education

• High School Diploma or equivalent; Associate Level Degree preferred
• Coding CPC or CCS Certification required at the time of hire
• 2 years of experience in coding, medical billing, or reimbursement in a healthcare setting
• Thorough knowledge of CPT, HCPCS, and Medicare guidelines
• Demonstrated ability to interpret medical record documentation requirements