Medical Coding Auditor
PacificSource Health Plans(26 days ago)
Springfield, OROnsiteFull TimeSenior$50,830.78 - $81,329.23Claims
Apply NowAbout this role
The Medical Coding Auditor at PacificSource operates within the commercial line to ensure claims accuracy, compliance, and proper coding through review and analysis of clinical and billing data. The role contributes to policy refinement and cross-departmental collaboration to improve claims processes and support regulatory requirements.
Required Skills
- Medical Coding
- Claims Adjudication
- Clinical Evaluation
- Coding Research
- Auditing
- Fraud Detection
- Data Analysis
- Compliance
- Microsoft Excel
- Communication
Qualifications
- High School Diploma or Equivalent
- Certified Professional Coder (CPC) - Preferred (to be obtained within 1 year)
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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