PacificSource Health Plans

Medical Coding Auditor

PacificSource Health Plans(7 days ago)

North CarolinaOnsiteFull TimeSenior$50,830.78 - $81,329.23Claims and Compliance
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About this role

The Medical Coding Auditor plays a key role in researching, resolving appeals and grievances, and conducting audits related to claims within the healthcare insurance sector. The position involves analyzing complex claims, ensuring compliance with coding standards, and supporting process improvement efforts to enhance claims accuracy and prevent fraud.

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Required Skills

  • CPT
  • HCPCS
  • ICD-10
  • Claims Processing
  • Auditing
  • Medical Records
  • Coding Standards
  • Healthcare Compliance
  • Fraud Detection
  • Medical Billing
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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