Certified Medical Coding Coordinator

Job Summary

A company is looking for a Claims Coding Coordinator.

Key Responsibilities

• Conduct ongoing data analysis from medical record reviews to enhance provider documentation and coding
• Participate in regulatory audit training and ensure compliance with CMS coding guidelines
• Process both commercial and Medicare claims accurately and manage claims edits in the Optum edit system

Required Qualifications

• High school diploma or equivalent
• Certified Coding Specialist (CCS), Certified Professional Coder-Apprentice (CPC-A), or Certified Professional Coder (CPC) certification
• One year of health insurance claims-related experience
• Three years of healthcare-related experience
• Advanced acumen of ICD 10 and diagnostics coding preferred