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Role and Responsibilities:
- Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
- Review medical records and supporting documentation to confirm that billed services, supplies, and items are appropriately documented.
- Apply CMS guidance, coding guidelines, MUE/NCCI edits, industry standards, and policies during claim review.
Qualifications:
- Active coding certification such as CCS, CPC, COC, RHIT, or RHIA.
- Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, CMS and coding guidelines.
- Experience with coding validation, auditing, or claims review.
Compensation and Benefits:
- Competitive salary range of $85,000 - $95,000 per year.
- Comprehensive package including health insurance, 401(k) with employer match, and paid parental leave.
- Remote work arrangement with a focus on payment accuracy and healthcare collaboration.
Trend Health Partners
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.