Code Edit Disputes Medical Coder

CarePlus Health Plans Inc

Remote, US
Base: $48,300 - $65,900 py; bonus/equity: not spec...
Remote
Advanced administrative and operational duties
Independent initiative and judgment in coding
Intermediate mathematical skills application
CarePlus Health Plans Inc. is seeking a Code Edit Disputes Medical Coder for a remote position, responsible for reviewing and educating providers on adjudicated claims that involve coding disputes. The role requires advanced administrative skills, experience in medical coding, and the ability to manage multiple tasks in a fast-paced environment

Job Summary

  • The role involves reviewing and educating providers regarding disputes on adjudicated claims containing code editing related denials or financial recovery.
  • Humana offers a remote work opportunity with excellent professional development and continued education benefits for associates.
  • Candidates must demonstrate the ability to solve complex coding issues while managing multiple tasks in a fast-paced setting.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Code Edit Disputes Medical Coder for a remote position, responsible for reviewing and educating providers on adjudicated claims that involve coding disputes. The role requires advanced administrative skills, experience in medical coding, and the ability to manage multiple tasks in a fast-paced environment.

Salary

Base: $48,300 - $65,900 per year; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance

Skills & Requirements

Must-have

  • Advanced administrative and operational duties
  • Independent initiative and judgment in coding
  • Intermediate mathematical skills application
  • Database analysis and manipulation capabilities
  • Fast-paced environment with competing priorities

Nice-to-have

  • Passion for improving consumer experiences
  • Experience in production driven environments
  • Commitment to continuous organizational improvement

Key Requirements

  • AAPC CPC certification (no Apprentice)
  • Minimum 3 years experience as Certified Medical Coder
  • Strong data entry and attention to detail skills
  • Experience with Medicare and Medicaid coding guidelines
  • Intermediate Microsoft Word, Excel, Outlook, and Teams proficiency

Work Rights

Not specified

Tailored Resume

Cover Letter