CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
Medical Coding Reviewer III, CPC, RHIT/RHIA Required
Job not on LinkedIn
🕒 4 days ago
🇺🇸 United States – Remote
💵 $62.7k - $100.4k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
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CareSource
1001 - 5000 employees
Founded 30+ years
⚕️ Healthcare Insurance
Healthcare Insurance
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
📋 Description
• Support most complex medical record audit programs • Generate concise in-depth reporting and analysis to track performance • Provide Provider Pre Pay production and progress reports • Recommend process or procedure changes • Demonstrate leadership ability • Identify knowledge gaps and provide training opportunities • Serve as a primary resource for provider escalation support • Maintain a working knowledge of all state and federal laws, rules, and billing guidelines
🎯 Requirements
• Associates degree required • Five (5) years of medical billing and coding experience • Minimum of three (3) years of SIU/FWA medical billing and coding experience required • Prior experience with claim pre-payment, medical claim and documentation auditing required • Medicaid/Medicare experience required • Three (3) years of experience in Facets preferred • Experience with reimbursement methodology (APC, DRG, OPPS) required • Inpatient coding experience preferred • Leadership experience preferred
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development • Bonuses • Comprehensive total rewards package
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