Claims Solution Coder

$45,718 - $69,638/Yr

Intermountain Health - Tallahassee, FL

Full-time

Tallahassee, FL

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 work collaboratively in a friendly environment, providing mentorship and support to fellow Claims Solution Specialists while engaging with clinic leadership and providers to improve the efficiency and accuracy of the 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.