<p>We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and identify appropriate codes for language used in benefit plans.</p><p>• Review and validate coding decisions made by peers to ensure accuracy.</p><p>• Facilitate discussions to align on coding documentation and standards.</p><p>• Assess audit results and implement necessary adjustments to maintain compliance.</p><p>• Actively participate in project meetings to provide insights and updates.</p><p>• Collaborate with team members, including certified coders and business analysts, to achieve project goals.</p><p>• Ensure coding practices align with industry standards and regulatory requirements.</p><p>• Contribute to the creation of coding documentation for benefit plans.</p><p>• Utilize Microsoft Office tools to support project tasks and communication.</p><p>• Stay updated on healthcare coding methodologies and best practices.</p>
<p>We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a long-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
