Certified Medical Coder

A company is looking for a Care Operations Specialist. Key Responsibilities Execute day-to-day operations of the SurgeryCare product, ensuring accurate member case placement and post-service claims review Collaborate with the Care Support Services team to manage case placement workload and ensure compliance with policies and procedures Develop and implement coding policies and standard operating procedures that adhere to legal and regulatory requirements Required Qualifications Bachelor's degree in healthcare or a related field 5+ years of experience in medical coding, healthcare operations, or revenue cycle management, preferably with episodic bundles Active medical coding certification (CPC, CCS, CMC, or equivalent) required Deep understanding of medical coding systems including CPTs, HCPCs, DRGs, and ICD-10 Experience with medical billing and claims auditing, and working with providers and carriers/TPAs

May 21, 2025 - 19:40

A company is looking for a Care Operations Specialist. Key Responsibilities Execute day-to-day operations of the SurgeryCare product, ensuring accurate member case placement and post-service claims review Collaborate with the Care Support Services team to manage case placement workload and ensure compliance with policies and procedures Develop and implement coding policies and standard operating procedures that adhere to legal and regulatory requirements Required Qualifications Bachelor's degree in healthcare or a related field 5+ years of experience in medical coding, healthcare operations, or revenue cycle management, preferably with episodic bundles Active medical coding certification (CPC, CCS, CMC, or equivalent) required Deep understanding of medical coding systems including CPTs, HCPCs, DRGs, and ICD-10 Experience with medical billing and claims auditing, and working with providers and carriers/TPAs