Healthcare Coding Specialist
2 weeks ago
About Us
Iskills Solutions is a leading provider of medical coding services, committed to delivering high-quality solutions that meet the evolving needs of the healthcare industry.
Salary and Benefits
The successful candidate can expect a competitive salary ranging from $15000 to $25000 per month, commensurate with experience. Additionally, our comprehensive benefits package includes opportunities for growth and development, as well as a supportive work environment.
Job Description
We are seeking an experienced Healthcare Coding Specialist to join our team. The ideal candidate will have a strong background in medical coding, with expertise in Level 1 and Level 2 HCPCS coding systems. Responsibilities will include:
- Coding and clinical review for medical necessity of claims post adjudication that are in the pre-payment stage and have been identified as requiring such review;
- Documentation of clinical rationale supporting findings of review based on Client's coverage policies and procedures;
- Assistance in any later stages of the cases reviewed, including possible Technical Assessment and Medical Policy review and update;
- Review and validate all information pertaining to the claim including member, provider and plan information;
- Any clinical and coding support of client's Investigation process as otherwise requested;
- Investigate rejected claim to see why denial was issued;
- Investigate insurance fraud and report if found.
Required Skills and Qualifications
To be considered for this role, applicants must possess the following qualifications:
- AAPC's CPC or AHIMA's CCS certification in medical coding;
- Strong knowledge of Level 1 and Level 2 HCPCS coding systems;
- Excellent analytical and problem-solving skills;
- Ability to work independently and as part of a team;
- Strong communication and interpersonal skills;
- Proficiency in MS Office applications, including Excel, Word, and Outlook;
- Familiarity with electronic health records (EHRs) and other medical software applications;
- Basic understanding of medical terminology and anatomy.
Benefits and Perks
In addition to a competitive salary and comprehensive benefits package, we offer a range of perks and benefits, including:
- Ongoing training and professional development opportunities;
- A collaborative and dynamic work environment;
- A flexible schedule that accommodates individual needs;
- An employee assistance program (EAP) for mental health and wellness support;
- A generous paid time off policy, including vacation, sick leave, and holidays;
- A commitment to work-life balance and employee satisfaction.
Contact Information
Please submit your resume and cover letter to apply for this exciting opportunity. We look forward to hearing from you
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