Medical Coding Associate

About the position

At Sedgwick, we prioritize taking care of our colleagues, and this commitment is reflected in our culture of caring. As a Medical Coding Associate, you will play a crucial role in reviewing medical codes, determining the medical necessity of services, and ensuring compliance with billing practices for our clients. This position is not just about coding; it?s about making a meaningful impact every day by ensuring that our clients receive the best possible service. You will be part of a team that values flexibility, diversity, and inclusivity, allowing you to grow both personally and professionally while contributing to a positive work environment. In this role, you will conduct coding reviews to ensure that all documentation is accurate and adheres to coding guidelines and legal requirements. You will also review medical bills to ensure compliance with federal and state regulations regarding fair business practices. Your expertise will be essential in assessing the pre-determination of services, treatment, and relatedness, as well as serving as a resource for client inquiries regarding billing and coding questions. Additionally, you will address provider complaints related to improper billing and collaborate with the billing department to ensure timely satisfaction of all bills. The position also includes additional responsibilities such as supporting the organization's quality programs and performing other duties as assigned. We are looking for someone who is not only skilled in medical coding but also passionate about making a difference in the lives of others. If you are driven to contribute to a caring and supportive workplace, this is the opportunity for you.

Responsibilities
? Conducts coding reviews to ensure all documentation is accurate and follows coding guidelines and legal requirements.
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? Reviews medical bills to ensure compliance with federal and state regulations regarding fair business practices.
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? Reviews medical bills for pre-determination of services, treatment, and relatedness.
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? Serves as a resource for client inquiries regarding billing and coding questions as it relates to down-coding of services.
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? Reviews provider complaints due to improper billing.
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? Works with the billing department to ensure all bills are satisfied in a timely manner.
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? Performs other duties as assigned.
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? Supports the organization's quality program(s).

Requirements
? High school diploma or GED required.
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? Medical Coding Certification CCA, CPC-A, or CPC required.
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? One (1) year of coding experience required; medical bill processing experience preferred.
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? Knowledge of medical terminology.
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? Knowledge of state regulations and guidelines regarding billing and coding documentation and standards.
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? Excellent verbal and written communication skills.
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? PC literate, including Microsoft Office products.
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? Strong organizational skills.
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? Excellent interpersonal skills.
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? Ability to meet deadlines.
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? Ability to work in a team environment.
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? Ability to meet or exceed Performance Competencies.

Nice-to-haves

Benefits
? Medical insurance
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? Dental insurance
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? Vision insurance
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? 401k and matching
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? Paid Time Off (PTO)
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? Disability insurance
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? Life insurance
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? Employee assistance programs
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? Flexible spending or health savings account
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? Other additional voluntary benefits

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