Claim Edit/Denial Coder

Signature Performance
life insurance, paid holidays, sick time, tuition assistance, 401(k)
United States, Nebraska, Omaha
10250 Regency Circle (Show on map)
Jan 08, 2025
ABOUT YOU You are a person who loves to work through coding rejections and denials. We need someone who can resolve claim issues. In the role of Claim Edit/Denial Coder you'll be responsible for reviewing and resolving claim rejections and denials. If you can put your signature on this, we can't wait to hear from you! Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is a credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We're looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we can't wait to meet you. ABOUT THE POSITION The people you will work with are exceptional. Here is what you can look forward to, and why you'll LOVE YOUR MONDAYS. Review and resolve Pro fee and Facility claim rejections and denials for multiple specialties including the following: NCD/LCD Medical Necessity MUE o Primary DX code edits NCCI Edits o Device Code edits Modifier edits o Place of Service Identify billing and coding issues with individual claims, notifying billers for correction. Review patient medical records to compare documentation and coding; change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Investigating and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention Other duties may be assigned. Position Requirements: Education Minimum of 2 years of Medical Coding experience required. Certifications Required CCS CCS-P CPC RHIT RHIA Experience Experience with CPT, ICD-10, HCPCS and Modifiers. Experience with Professional Fee Coding Experience with Facility coding ABOUT US You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission. ABOUT THE BENEFITS We're proud to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust in you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more. Health Insurance for Our Associates Fully Paid Life Insurance Fully Paid Short- & Long-Term Disability Paid Vacation Paid Sick Leave Paid Holidays Professional Development and Tuition Assistance Program 401(k) Program with Employer Match Referral Bonuses Hybrid & Remote Opportunities General Areas of Accountability: Must conduct business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while employed with the company. The following HIPAA and Privacy items apply to all positions at Signature Performance: Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information. Follow Signature expected acceptable use to protect propriety and company owned information. Complete annually required Privacy and Security Training Performance Management: All Signature Performance associates are subject to regular performance management to determine if skills and training requirements are suitable for the position . Machines and Equipment: The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copiers and fax machines. Physical Activity: The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements. Working Conditions: The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required. Remote Eligibility: This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations. U.S. Citizenship is Required for All Positions and Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii. The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. U.S. Citizenship is Required for All Positions. Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii.