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Professional Fee Coding Auditor Claims Edit Specialist (Full-Time, Day)

NorthBay Healthcare Corporation
Fairfield, USA
Mid
Onsite
Discovered 1 months ago

Full Job Posting

Qualifications

  • CPC
  • CCS-P, or
  • CPMA.

Experience:

  • Minimum 5 years of professional fee coding experience across multiple specialties.
  • Minimum 3 years of prior auditing and edit‐resolution experience is required.
  • Strong knowledge of anatomy, physiology, medical terminology, disease processes, and official coding guidelines.
  • Requires strong analytical skills, deep understanding of clinical documentation, and the ability to work independently with high accuracy in any EHR or coding/billing platform.
  • Proficiency with EHRs, encoders (e.g., 3M), and Microsoft Office.
  • Communicates effectively with coders, providers, and cross‐functional teams.
  • Maintains professionalism under deadlines and shifting priorities.
  • Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality.
  • Attendance is an essential function of the job. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions
  • Ability to sit for extended periods.
  • Ability to lift/push/pull up to 5 lbs.
  • Frequent keyboarding and sustained concentration.

Preferred Qualifications

  • High School diploma preferred;
  • Associate’s or Bachelor’s preferred.
  • CRC (Certified Risk Adjustment Coder) preferred in addition to one of the certifications above.

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