A large managed care organization has a Full-time CONTRACT TO HIRE Position for a Medical Coder.
Certified Professional Coder (CPC)/Certified Outpatient Auditor (COC)
Must have two years of related work experience, including former coding experience or auditing experience and data entry along with excellent communication skills, and professional demeanor. Interact with internal and external customers in a courteous manner in person and via telephone.
- PAY: $32.00 per hour
- CONTRACT: Contract to HIRE
- HOURS: 9am to 5p M-F, occasional overtime
- LOCATION:Eden Prairie, MN 55344
- What skills/attributes must have:
-Coding Certificate
\- Certified Professional Coder (CPC)
\- Certified Outpatient Auditor (COC)
\- Working knowledge of medical terminology and claim coding.
\- Strong written and verbal communications skills.
\- Strong customer service skills.
\- Ability to work in a team.
\- Proficient with personal computers
Investigate Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedures to determine the viability of the claim for further review in a production environment.
Perform clinical review of professional claims vs. medical records to determine if the claim is supported or unsupported.
Top responsibilities for this position:
\- Clinical Case Reviews -75%
\- Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported.
\- Maintain standards for productivity and accuracy. Standards are defined by the department.
\- Provide clear and concise clinical logic to the providers when necessary.
\- Other internal customer correspondence and team needs – 15%
\- Attend and provide feedback during monthly meetings with assigned internal customer department.
\- Provide continuous feedback on how to improve department relationships with internal team members and departments.
\- Continue education – 10%
\- Keep up required Coding Certificate and/or Nursing Licensure.
\- Complete compliance hours as required by the department.
Software tools/skills are needed to perform these daily responsibilities: Microsoft Office Excel, Outlook, etc.