Medical Coding Auditor
PacificSource Health Plans(25 days ago)
About this role
The Medical Coding Auditor at PacificSource conducts advanced review and oversight of commercial claims to ensure accurate coding, compliance, and adjudication. The role supports policy refinement, quality improvement, and cross-departmental coordination while contributing to fraud detection and recovery efforts.
Required Skills
- Medical Coding
- Claims Adjudication
- Clinical Review
- CPT
- ICD-10
- HCPCS
- Auditing
- Fraud Detection
- Data Analysis
- Excel
+2 more
Qualifications
- High School Diploma or Equivalent
- Certified Professional Coder (CPC) - Preferred
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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