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Coding Compliance Specialist Job in Chicago, Illinois

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Job Title: Coding Compliance Specialist

Employer:Blue Cross Blue Shield
Skills:coding,billing,Risk Adjustment coding,Medicaid / Medicare & ACA
Specialties: * 2 years medical coding experience required
Required Certifications:CPC Certification
Required Experience:3 to 4 years
Location:300 East Randolph Chicago 60601, IL, US
Date Posted:10/30/2018

Position located in Chicago, IL @ BCBS HQ

Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding Guidelines and Official ICD9 / ICD10 Coding Guidelines. Reviews insurance payments and denials and recommends coding corrections.

* High School Diploma or GED.
* CPC Coding Certification
* 2 years medical coding experience
* Experience with process management
* PC experience and skills to include Microsoft Office
* Verbal and written communication skills
* Analytical skills
* Ability to travel 60% to 80% of the time to physicians office / clinics.

* Associate or Bachelor's degree
* Experience in health insurance or health care setting
* Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business


To Apply:  http://bit.ly/2PesBDj

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