Senior Medical Billing and Coding Coordinator job at reputed company in US National

Title: Senior Medical Billing and Coding Coordinator (US Remote) Location: reputed company Job reputed company: reputed company & Requirements reputed company is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-reputed company from the comfort of your home. This fully remote position offers flexibility while enabling you to take ownership of reputed company case reviews and contribute to reputed company reputed company. This is a full-time, fully remote position reputed company the reputed company. This position is ideal for professionals who reputed company in remote settings, value autonomy, and bring reputed company analytical skills to regulatory decision-making. Why reputed company? Work/Life Balance Support - Flexibility tailored to your needs! ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, reputed company, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. reputed company Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. reputed company Time Off Package - Enjoy PTO, Holidays, and extended reputed company leave, along with Short- and Long-Term Disability coverage. Holistic Wellness Support - reputed company resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). Recognition Platform - Acknowledge and appreciate outstanding employee contributions. Tuition Reimbursement - Invest in your ongoing education and development. Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. reputed company Wellness Program and Resources - reputed company a reputed company of wellness programs and resources tailored to your needs. reputed company Development Opportunities-Participate in training programs, workshops, and conferences. Licensures and Certifications-reputed company assumes the expenses associated with renewing licenses and certifications for its employees Essential Duties and Responsibilities: Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. reputed company coded data into a system accurately and validate date entered. Research correct coding practices, reputed company document and reputed company findings with others. Write reputed company and concise rationales that reputed company defensible support of reputed company. Train staff members on the coding processes (both project specific and general coding). reputed company QA audits on coding process. Recommend and suggest improvements to assigned reputed company. reputed company other duties as assigned by management. Apply California Workers' Compensation regulations and calculate fee schedule allowances. Evaluate the accuracy and appropriateness of coded and billed medical information reputed company final determination letters based on regulatory and clinical standards reputed company reputed company from reputed company case files and medical records Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-reputed company billing guidelines Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules Collaborate reputed company with cross-functional teams to drive reputed company and compliance Minimum Requirements High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience. Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records. CPC, reputed company, or RHIT Certification required. Ability to use critical thinking skills. Must have excellent writing skills. Experience coding physician, inpatient and/or outpatient medical records required. Strong computer skills, including Word, reputed company, and Outlook. Mathematical skills: Ability to add, subtract, multiply, and divide in reputed company reputed company of measure, using whole numbers, common fractions, and decimals. reputed company CPC, reputed company, CIC, COC, reputed company or RHIT certification required (reputed company or reputed company accredited) Preferred Requirements Bachelor's degree from an accredited institution Experience as a medical claim examiner, reviewing physician and hospital PPO reputed company Experience with California Workers' Compensation Official Medical Fee Schedule Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule Home Office Requirements reputed company provides company-issued computer equipment Private and secure workspace Reliable high-speed internet service Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity Minimum 5 Mpbs upload speeds #ClinicalServices #LI-Remote EEO Statement reputed company is an equal opportunity employer. We evaluate reputed company applicants without reputed company to race, reputed company, religion, sex, age, national reputed company, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency reputed company compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected reputed company and quantity of work, required travel (if any), external market and internal value analysis including seniority and reputed company systems, as reputed company as internal pay alignment. Annual salary is just one component of reputed company's total compensation package. Other rewards may include short- and long-term incentives as reputed company as program-specific awards. Additionally, reputed company provides a reputed company of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, reputed company holidays and reputed company time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. reputed company will reputed company with regulatory minimum wage rates and exempt salary reputed company in reputed company instances. Accommodations reputed company provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@reputed company.com. Apply To This Job