Medicare Coding Specialist

Job Summary

A company is looking for a Payment Integrity Professional to ensure accuracy and compliance in healthcare payments.

Key Responsibilities

• Increase accuracy of provider contract payments and ensure correct claims processing
• Support investigations related to fraud, waste, abuse, and financial recovery efforts
• Review and analyze Medicare appeal cases, ensuring compliance with guidelines

Required Qualifications

• AAPC Coding Certification - CPC
• Minimum 2 years of post-certification experience with Medicare claims
• Strong understanding of CMS guidelines and coding initiatives
• Proficiency in Microsoft Word and Excel
• Experience with Medicare Appeals and reading medical claims