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data analysis sql cpt hcpcs icd-10📋 Description
- Perform line-by-line review of high-dollar itemized bills (UB-04) and claims.
- Identify and document potential billing errors, including improper unbundling.
- Compare billed charges against contracts and guidelines for accuracy.
- Apply CPT, HCPCS, ICD-10, MS-DRGs to validate service codes.
- Review claims under reimbursement scenarios and thresholds.
- Document findings and recommended claim adjustments.
🎯 Requirements
- Bachelor’s degree or 4+ years of commensurate experience.
- 2+ years of hospital/facility billing (UB-04) bill/coding audit experience.
- 4+ years experience in medical coding.
- AAPC CPC/COC or AHIMA CCS/RHIT/RHIA certification.
- Experience with reimbursement methodologies and provider contracts.
🎁 Benefits
- Base pay $82,717-$108,566/year; eligible for bonuses.
- Full-time role with medical, dental, and vision benefits.
- Unlimited vacation program and annual performance bonuses.
- 11 paid holidays, sick time, parental leave, 401(k) plan.
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