Job Summary
A healthcare technology company is seeking a Remote Coding Validation Analyst.
Core Responsibilities of this position include:
- Documenting daily claims performance for each edit and advise management of any significant performance issues immediately
- Providing in-depth analysis of professional and facility claims routed to the manual claims validation queue
- Identifying and providing root-cause analysis of edit performance issues
Must meet the following requirements for consideration:
- Certified Coder (CCS, CCS-P or CPC) Required
- Ability to interpret claim edit rules and references
- Solid understanding of claims workflow and the ability to interpret professional and facility claim forms
- 2-5+ years of relevant experience or equivalent combination of education & work within healthcare payers/claims payment processing
- Ability to apply industry coding guidelines to claim processes
- Ability to manipulate data in Excel
