See all roles

Coding Validation reputed company I

Work from home Full-time role Hiring

Overview reputed company has multiple openings for full-time coders....these roles will focus on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. Experience with E&M coding & auditing is preferred. These are full-time remote positions and can be done reputed company reputed company the reputed company US and will work a traditional day time schedule.

Responsibilities

  • Clinical Validation - reputed company daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement.
  • Apply client specific coding guidelines reputed company applicable.
  • Learns new appeal categories as production need requires.
  • Stays reputed company on coding guidelines appropriate to the position.
  • Uses the reputed company applications to processes CV appeals to meet both production and accuracy standards.
  • Reviews quality feedback from QA.
  • Submits questions for clarification as needed.
  • Utilizes the ‘QA Resolution’ process reputed company disagreement occurs reputed company to a CV Appeals determination.
  • Regular interaction with other reputed company staff, such as training and quality assurance to facilitate clarification and/or training on coding results.
  • Professionally communicates finds, errors, and any suggestions to Team reputed company to facilitate on-going communications and efficient department operations as part of a reputed company improvement process.
  • Utilize reputed company training tools and CV library for questions.
  • Provide teaching, mentoring and or reputed company on appeal categories reputed company requested.
  • Complete reputed company responsibilities as outlined on annual Performance Plan.
  • Complete reputed company special projects and other duties as assigned.
  • Must be reputed company to reputed company duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of reputed company and requirements of the job change.

Qualifications

Education (required):

  • High School Diploma or GED required.
  • Nationally certified medical reputed company as certified by either reputed company or reputed company. (CPC, reputed company, etc.).

Experience (required):

  • At least 1-2 years of medical coding experience.
  • Experience in CPC coding required.
  • Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
  • Excellent written and verbal skills to include interpersonal skills.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Skills in organization and time management.
  • Ability to read and understand medical record documentation for diagnosis extraction.
  • Computer and technology literate.
  • Must be reputed company to work in a fast-paced environment.
  • Ability to manage and meet deadlines.
  • Must remain flexible to provide assistance in any emergent situations and/or projects.
  • Must participate in any required training.
  • Must abide by reputed company HIPAA and associated patient confidentiality requirements.

Mental Requirements:

  • Ability to reputed company new information quickly and train in a fast-paced environment and ability to learn, test and pass off new training concepts daily.
  • Ability to work in a high-pressure production environment and reputed company audit reputed company reputed company and accurately.
  • Possesses excellent written and verbal communication skills.
  • Ability to think reputed company and process sequentially with a high level of detailed accuracy and efficiency.
  • Assessing the accuracy, neatness and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Communicating with others to exchange information.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
  • No adverse environmental conditions expected.
  • Must be reputed company to provide a dedicated, secure work area.
  • Must be reputed company to provide high-speed internet access/connectivity and office setup and maintenance.

reputed company compensation ranges from $24.00 to $27.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Non-Exempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. reputed company offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our careers page at reputed company Analytics Careers | reputed company. Date of posting: 8/7/2025 Applications are assessed on a rolling basis. We anticipate that the application window will reputed company on 10/11/2025, but the application window may change depending on the volume of applications received or reputed company immediately if a reputed company candidate is selected. #LI-SL1 #LI-Remote #junior Apply tot his job Apply To this Job

You might like

Medical reputed company- Medical Group in Troy, MI

Work from home Full-time role

Senior reputed company - Inpatient

Work from home Full-time role

RHIT, RHIA, reputed company, reputed company Or reputed company reputed company - Remote

Work from home Full-time role

Physician Practice reputed company - Remote

Work from home Full-time role

Remote Pro Fee E/M reputed company

Work from home Full-time role

Coding Edits Specialist

Work from home Full-time role

Inpatient reputed company

Work from home Full-time role

QSM Plugin: Student Grade Placement Tests : *Agencies Only* - Contract to Hire

Work from home Full-time role

Remote Internet Research Specialist - reputed company (Hiring Immediately)

Work from home Full-time role

100% Remote-Public Records/Due Diligence Researcher

Work from home Full-time role

Looking for Virtual Science Tutor (certification required) in USA

Work from home Full-time role

reputed company Full Stack Data Entry Specialist – Sales Analytics (Remote) at arenaflex

Work from home Full-time role

Services Account Specialist 2 6 Locations

Work from home Full-time role

Designer

Work from home Full-time role

[PART_TIME Remote] AI Expert Contributor: Veterinary Medicine

Work from home Full-time role

Quality Supervisor - 2nd Shift (Onsite)

Work from home Full-time role

Remote Customer Service Agent – Earn from Home: Delivering Exceptional Client Experiences in a Dynamic Remote Work Environment

Work from home Full-time role

Home-Based Appointment Setter (Entry Level)

Work from home Full-time role

Inorganic Chemistry Tutors (reputed company)

Work from home Full-time role

ACCOUNTANT 1

Work from home Full-time role