Claims Solution Coder

$45,718 - $69,638/Yr

Intermountain Health - Jefferson City, MO

Full-time

Jefferson City, MO

Hospitals

About the position

The Claims Solution Specialist - Coders play a crucial role in enhancing the healthcare billing experience by utilizing their coding expertise to resolve complex claims issues. They mentor other specialists, engage with clinic leadership, and contribute to continuous improvement efforts aimed at increasing the efficiency and accuracy of the professional claims process.

Responsibilities

• Perform coding abstraction and reviews for complex professional claims issues.
• Resolve advanced claims issues requiring certified coding expertise.
• Mentor Claims Solution Specialists and design tools to support their daily responsibilities.
• Provide training and answer questions through the coding helpline.
• Design standing orders to facilitate management of claims without coding experience or certification.

Requirements

• CPC coding certification.
• Professional coding experience or medical billing experience.

Nice-to-haves

• Advanced coding knowledge (e.g., CCI edits, appeal management)
• Root cause analysis experience.

Benefits

• Comprehensive benefits package covering a wide range of wellness programs.