Medical Coding Auditor
PacificSource Health Plans(6 days ago)
About this role
The Medical Coding Auditor at PacificSource is responsible for researching and resolving complex claims, applying adjudication expertise, and supporting process improvements. The role involves clinical evaluation, coding, audit support, and collaboration with other departments to ensure accurate claims processing and compliance.
Required Skills
- CPT
- HCPCS
- ICD-10
- Medical Records
- Auditing
- Claims Processing
- Coding Standards
- Fraud Detection
- Healthcare Compliance
- Medical Billing
Qualifications
- High School Diploma or Equivalent
- Certified Professional Coder (CPC)
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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