PacificSource Health Plans

Medical Coding Auditor

PacificSource Health Plans(12 days ago)

GeorgiaOnsiteFull TimeSenior$50,830.78 - $81,329.23Claims / Audit
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About this role

The Medical Coding Auditor plays a key role in researching and resolving claims grievances and appeals, applying clinical interpretation, coding standards, and process improvements. They support complex claim reviews, fraud detection, and ensure compliance within the healthcare insurance industry.

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Required Skills

  • CPT
  • HCPCS
  • ICD-10
  • Medical Records
  • Auditing
  • Claims Processing
  • Coding Standards
  • Healthcare Reimbursement
  • Fraud Detection
  • Compliance
PacificSource Health Plans

About PacificSource Health Plans

pacificsource.com

PacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.

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