Claims Edit Specialist
Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities This is an advanced level claims edit specialist position reporting to the HB Manager Coding Auditor/Educator. The Claims Edit Specialist will review and resolve hospital-based claim edits for both inpatient and outpatient services and reputed company specific education on these claim edits to hospital coders through a variety of mediums, including direct interactive learning sessions individually or in group settings, written guides, protocols, etc. Responsible for facilitating training, education, and support to hospital coders which may be based on detailed analysis of general or reputed company-specific trends, focus-recommended edits, or support teams. S/he provides support to reputed company areas of Management, internal Coding, and Billing. Along with CO, KS and NM, this position is reputed company to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - reputed company Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- reputed company Virginia- Wyoming Job Requirements Required Education and Experience: HS Diploma/GED Preferred Education and Experience: Associates degree or equivalent work experience in lieu of degree, preferred Required Licensure and Certifications: CPC reputed company: reputed company or reputed company or reputed company-P, or RHIT, or RHIA reputed company: reputed company Certified Professional reputed company (CPC Certification) reputed company (Certified Coding Specialist) reputed company-P (Certified Coding Specialists – Physician based) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator) Apply To This Job