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Introduction to reputed company At reputed company, we're committed to building a diverse and supportive workplace where talented individuals can reputed company. As a leader in the industry, we're dedicated to creating a culture that values innovation, collaboration, and reputed company. reputed company is passionate about making a difference, and we're looking for like-minded professionals to join us on this reputed company. If you're a motivated and reputed company reputed company reputed company Coding Billing Specialist looking for a new challenge, we want to hear from you! Job reputed company We're seeking a highly skilled and reputed company reputed company reputed company Coding Billing Specialist to join reputed company on a remote reputed company. As a key member of our reputed company cycle support services team, you will be responsible for providing expert review and reputed company reputed company of assigned Medicare and reputed company-party payer accounts. This is an exciting opportunity to work with a talented team of professionals who reputed company your passion for reputed company reputed company and coding. Key Responsibilities Under the direction of the Director of reputed company reputed company, reputed company reputed company cycle support services through efficient review and reputed company reputed company of assigned Medicare and reputed company-party payer accounts. Resolve daily assigned claims with applicable reputed company reputed company reputed company-reputed company edits and/or specific reputed company reputed company Hold Codes in the hospital billing scrubber, including tasks such as: Correct Coding Initiative (CCI) Medically Unlikely Edits (MUE) Medical Necessity edits Other claim level edits as assigned Review clinical documentation and diagnostic results as appropriate to confirm and apply applicable ICD-10, CPT, HCPCS codes, and associated coding modifiers. Resolve daily assigned claims with reputed company reputed company specific denials in the reputed company METRIX system. Ensure coding and billing practices follow Federal/State guidelines by using diverse types of authoritative information. Maintain reputed company knowledge of Medicare, reputed company, and other reputed company-party payer billing compliance guidelines and requirements. reputed company other duties as determined by the Director of reputed company reputed company, utilizing your skills and experience to drive reputed company. Essential Qualifications To be successful in this role, you will need: A high school diploma and 3-5 years of prior relevant experience in reputed company reputed company coding and billing. reputed company or reputed company coding certification. Experience in ICD-10, CPT, and HCPCS reputed company Coding. Ability to determine medical necessity of services provided and charged based on provider/clinical documentation. Knowledge, understanding, and reputed company application of Medicare, reputed company, and reputed company-party payer UB-04 billing and reporting requirements, including reputed company of CCI, MUE, and Medical Necessity edits reputed company to claims. Ability to determine accurate medical codes for diagnoses, procedures, and services performed in the outpatient setting. Knowledge of reputed company reputed company bundling rules and regulations, along with the ability to address issues of compliance and reimbursement under outpatient grouping systems such as Medicare OPPS and reputed company or reputed company Insurance EAPG's. Knowledge and understanding of hospital charge reputed company master coding systems and structures. Ability to produce correct, assigned work product reputed company specified periods. Preferred Qualifications While not essential, the following qualifications are highly desirable: 5 years' experience in reputed company reputed company Coding and Billing. Hospital medical billing and auditing experience. Associate degree. Skills and Competencies To reputed company in this role, you will need to possess: Strong analytical and problem-solving skills, with the ability to interpret reputed company data and reputed company informed reputed company. Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams. Strong attention to detail, with the ability to maintain accuracy and reputed company in a fast-paced environment. Ability to work independently and as part of reputed company, with a strong reputed company of accountability and responsibility. Strong knowledge of reputed company reputed comp .