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Medical Coder / Reimbursement Rep 23-00333

Company: Alura Workforce Solutions
Location: Fountain Valley
Posted on: March 20, 2023

Job Description:


Medical Coder / Reimbursement Rep
Physician Claims -
(Remote/Southern CA Residents Only)

Outstanding opportunity a with major Southern CA-based health system providing Medical Coding and Reimbursement Support to multi-specialty physician group. -

  • Review charges for coding accuracy
  • Communicate with clients coding improvements
  • Answer client emails and provide coding support as necessary
  • Perform coding audits and reimbursement
  • Create and draft appeals based on coding and medical necessity
  • Contact insurance companies, and other third-party payers regarding claims status and payment, via telephone and written correspondence according to established standards.
  • Respond to inquiries and correspondence from insurance companies, patients, and other third-party payers in a professional and timely manner.
  • Re-file and re-bill claims as necessary, ensuring that all information contained on the claim is accurate and complete.
  • Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed.
  • Audit accounts for any necessary corrections, including updating coverage information.
  • Maintain working knowledge of current procedural terminology, diagnosis codes, and insurance payer policies.
  • Provide professional and courteous service to all customers
  • Communicate effectively in written and verbal form
  • Maintain complete patient/employer confidentiality at all times per company and HIPAA requirements


    • Minimum two (2) years' experience in Physician billing and collections required
    • Experience coding and collecting on multi-speciality Physician claims required -
    • Experience with physician -OB/GYN, Orthopedic and Vascular claims highly preferred -
    • Proficiency in Medicare, Medicare Advantage and Commercial Payors and their guidelines required
    • General knowledge of medical terminology and ICD-9/ICD-10 coding
    • Experience using NextGen and EPIC systems highly preferred
    • MS Office proficiency required
    • Certified Professional Coder Required -
    • High school graduate or GED equivalent required

      Additional Information -

      • Full-Time, Remote /Southern CA Residents - -
      • Contract to Hire -


Keywords: Alura Workforce Solutions, Fountain Valley , Medical Coder / Reimbursement Rep 23-00333, Healthcare , Fountain Valley, California

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