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  • Medical Coder
    Medical Coder
    hace 5 días
    Jornada completa
    New York

    Job description & requirements Medical Coders (Mid-Level) AIMRRA is seeking multiple Mid-Level Medical Coders for one of our staffing agencies. The Coders are primarily responsible for reviewing health information. The coder reviews medical records for specific criteria and validates the submission of code year sets from selected organizations to the government and commercial clients. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The coders must have the ability to use a variety of office equipment and computer software, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). The job title and salary for this position will be determined based on the candidate’s relevant experience and the results of a standardized coding assessment. Candidates must achieve a passing score on the assessment before their application can be further considered. Responsibilities: Most of the coding will be done by the Mid-Level Coders. The Mid-Level Coders will be involved from intake through abstraction. Mid-Level Coders with education of proper coding that is aligned to general industry practices. Analyze protected health information according to project-specific rules. Participate in the Intake Process of records. Assign ICD-10-CM codes according to the guidelines as defined by the AMA. Discuss project-related discrepancies with Team Lead(s). Maintain coding credentials and continuing education hours. Possess and maintain a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA. Qualified Candidate: Must possess a minimum experience or knowledge in abstracting and ICD-10 coding of general acute hospital (inpatient and outpatient). Knowledge in anatomy and physiology, pathology of disease, and medical terminology required. Ability to write appropriate correspondence and effectively communicate with other members of our team’s personnel, clients, and customers as necessary. Must be able to work independently with little or no supervision. Licenses/Certification: All coders must have experience in abstracting ICD-10 (blended HCC model) coding and have one or more of the following certifications: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) Required Travel No required travel Applicant Location US residents only

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  • Claims Processing Help Desk Associate
    Claims Processing Help Desk Associate
    hace 2 meses
    $23–$42 por hora
    Jornada completa
    Manhattan, New York

    Join our team as a Claims Processing Help Desk Associate, where you will play a vital role in supporting our customers with their claims inquiries and issues. As a full-time member of our organization, you will thrive in a dynamic work environment, leveraging your analytical skills and customer service expertise to elevate the client experience. Your contributions will ensure that the claims processing function operates smoothly, positively impacting both our customers and the overall efficiency of our services. Key Responsibilities Assist customers with claims-related inquiries and provide appropriate solutions or guidance. Process, review, and manage claims documentation to ensure accuracy and compliance. Utilize analytical skills to troubleshoot claims processing issues effectively. Maintain comprehensive records of all customer interactions and claim statuses. Collaborate with team members to resolve complex claims and enhance service delivery. Provide technical support and guidance to customers regarding claim submissions and follow-ups. Contribute to the continuous improvement of claims processing procedures and best practices. Required and preferred qualifications High school diploma or equivalent required; further education is a plus. 1-2 years of experience in customer service or claims processing preferred. Proficient with Microsoft Office Suite and claims processing software. Strong problem-solving abilities with attention to detail. Excellent communication and interpersonal skills. Ability to multitask and work effectively in a collaborative environment. We pride ourselves on fostering a supportive company culture that values growth and development among our employees. Our modern workplace model includes an array of benefits, including competitive compensation, health insurance, and opportunities for professional development. You will have the chance to enhance your skills while contributing to our customer-centric mission. Our team structure encourages cross-functional collaboration, allowing you to interact with various departments and build strong working relationships. You will report directly to the Claims Processing Manager, ensuring clear communication and alignment with departmental goals. Together, we strive to create a positive and efficient claims processing experience for our customers.

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