Remote resolution analyst - united states, minneapolis
Adecco medical & science is seeking a remote resolution analyst for a national company based in minneapolis, mn.you must have a current coding certification (see full list of acceptable certifications below).schedule: ability to work full-time between 8:00am – 5:00pm including the flexibility to work occasional overtime given the business needprimary responsibilities:
clinical case reviews
perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported.
maintain standards for productivity and accuracy. standards are defined by the department.
provide clear and concise clinical logic to the providers when necessary.
other internal customer correspondence and team needs
attend and provide feedback during monthly meetings with assigned internal customer department.
provide continuous feedback on how to improve the department relationships with internal team members and departments.
continue education
keep up required coding certificate and/or nursing licensure.
complete compliance hours as required by the department.
required qualifications:
high school diploma / ged (or higher)
2+ years of medical record coding experience
working knowledge of medical terminology and/or claim coding.
proficiency with personal computers, including microsoft suite of products.
coding certificate, (certified professional coder (cpc), certified inpatient coder (cic), certified outpatient auditor (coc), certified professional medical auditor (cpma), or certified coding specialist (ccs), rhia, rhit, ccsp
ability to work full-time between 8:00am – 5:00pm including the flexibility to work occasional overtime given the business need
preferred qualifications:
previous presentation or policy documentation experience
experience in evaluation and management services in the outpatient/office setting.
working knowledge of the healthcare insurance managed care industry.
previous experience in claim processing, healthcare provider information and healthcare billing practices
remote requirements:
required to have a dedicated work area established that is separated from other living areas and provides information privacy
ability to keep all company sensitive documents secure (if applicable)
must live in a location that can receive an high-speed internet connection or leverage an existing high-speed internet service
why work for adecco:
weekly pay
401(k) plan
skill training
excellent medical, dental and vision benefits
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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United States, Minneapolis ,Minnesota
2022-09-09
2022-10-09
2030541
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