Job Summary

A health service company has an open position for a Remote Senior Recovery and Resolution Analyst.

Core Responsibilities of this position include:

• Performing clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment
• Determining appropriate level of service utilizing Evaluation and Management coding principles
• Maintaining and managing daily case review assignments, with accountability to quality, utilization and productivity standards

Qualifications Include:

• High School Diploma / GED (or higher)
• 2+ years of experience Certified Coder AHIMA or AAPC Certified coder
• CPC, CCS, CCS-P, RHIT, CPMA, RHIA, CDIP or Nurse (RN, LPN) with unrestricted and active license/certification
• 2+ years of CPT/HCPCS/ICD – 10/CM/PCS coding experience or Licensed nurse
• 1+ years of working in a team atmosphere in a metric driven environment including daily production standards
• CPT/HCPCS/Modifiers experience