SIU Clinical Investigator
RemoteUnited States or Chesterfield, Missouri, United States
Job Summary
Conduct FWA investigations by analyzing patient medical records, comparing submitted claims, and determining the appropriateness of billing and reimbursement. Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from records while documenting findings in spreadsheets and summarizing results in written reports. Perform quality checks on team work, assist in research, and provide subject matter expertise to clients. Maintain current knowledge of coding guidelines and federal/state regulations, and perform data analysis of client data. Comply with Privacy and Security standards and manage confidential information with discretion.
Required Qualifications
- Certified Professional Coder - (CPC®) through governing body AAPC
- Minimum of one year of coding and/or billing experience
- Knowledge of medical terminology
- Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
- Knowledge of specialty medical practices
- Must be detail-oriented
- Ability to communicate effectively both verbally and in writing
- Strong listening skills
- Independent
- Responsible
- Self-disciplined
- Ability to meet defined performance and production goals
- Strong computer skills
- Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload
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