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Certified Coding Subject Matter Expert
A company is looking for an Outpatient Certified Coding Subject Matter Expert. Key Responsibilities: Analyze healthcare claims to identify improper payments Develop logic and criteria for algorithms to flag incorrectly paid claims Collaborate with operations and data analytics teams to ensure findings are actionable Qualifications: Bachelor's degree in Health Information, Health Informatics, or a related field 2+ years of hands-on experience with ICD-10-CM, CPT/HCPCS coding Current coding certification (e.g., CPC, COC, RHIT, or RHIA) through AAPC or AHIMA Strong understanding of Medicare, Medicaid, and commercial payment rules and regulations
A company is looking for an Outpatient Certified Coding Subject Matter Expert.
Key Responsibilities:
Analyze healthcare claims to identify improper payments
Develop logic and criteria for algorithms to flag incorrectly paid claims
Collaborate with operations and data analytics teams to ensure findings are actionable
Qualifications:
Bachelor's degree in Health Information, Health Informatics, or a related field
2+ years of hands-on experience with ICD-10-CM, CPT/HCPCS coding
Current coding certification (e.g., CPC, COC, RHIT, or RHIA) through AAPC or AHIMA
Strong understanding of Medicare, Medicaid, and commercial payment rules and regulations