Remote Outpatient Classification SME

Location: Nationwide

Compensation: Salary

Staff Reviewed: Thu, Apr 22, 2021

This job expires in: 12 days

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced, Senior Level

Job Summary

A business process solutions, operations management, and analytics consulting company is seeking a Remote Outpatient Classification SME.

Core Responsibilities Include:

  • Participating in the selections process initiatives, monitor the program performance, review results & fine tune the selections queries
  • Assisting in auditing selected outpatient claims for appropriate coding and reimbursement savings potential
  • Leading a team of experienced coders by demonstrating mastery of the coding guidelines, CPT classification systems, etc

Applicants must meet the following qualifications:

  • CCS-P- Certified Coding Specialist Physician, CPC – Certified Procedural Coder
  • Noteworthy CCS - Certified Coding Specialist. RHIT - Registered Health Information Technologist
  • 10 plus years’ experience with outpatient auditing/coding
  • Experience with encoder tools (TrueCode, 3M, Webtrat, Pricers)
  • Expert knowledge of ICD-9, ICD-10, CPT and HCPCS coding guidelines

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