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.
PI Medical Coding Reviewer I, CPC, RHIT, RHIA required
Job not on LinkedIn
🔥 4 minutes ago
🏈 Ohio – Remote
💵 $47.4k - $76k / year
⏰ Full Time
🟢 Junior
🏥 Medical Billing and Coding
🦅 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
• Responsible for assuring medical records requests are accurate • Process incoming medical records and assign to appropriate claims • Support the audit process - error exception reporting • Make claim payment audit decisions on uncomplicated medical codes • Research and make payment decisions based on medical coding guidelines • Refer suspected Fraud, Waste, or Abuse to the SIU when identified • Identify process improvements and refer system enhancement ideas • Report claim problems/concerns to management
🎯 Requirements
• Associates degree required • 1 year of medical bill coding preferred • Medicaid/Medicare experience preferred • Knowledge of diagnosis codes and CPT coding guidelines • Proficient in Microsoft Office Suite • Experience reviewing medical records • General understanding of claims payment preferred
🏖️ Benefits
• Comprehensive total rewards package • Bonus tied to company and individual performance • Health insurance • Retirement plans • Paid time off • Flexible work arrangements
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