About this role
The Itemized Bill Review Facility Reviewer at Zelis analyzes facility inpatient and outpatient claims for payers and TPAs to ensure adherence to coding and billing guidelines. The role supports Expert Claim Review and Concept Development teams to identify billing errors and ensure accurate claims processing. This is a production-based position with defined productivity and quality targets.
Required Skills
- Billing
- Coding
- Claims Processing
- ICD-10
- CPT
- Microsoft Office
- Communication
- Quality Assurance
- Policy Interpretation
Qualifications
- CPC
About Zelis
zelis.comDiscover the connected platform that's bridging gaps and aligning interests of healthcare payers, providers, and healthcare consumers.
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