Job Description

Benefits:
401(k) matching
Dental insurance
Health insurance
Vision insurance
Lead the medical claims and coding analyses, identifying and resolving process, payment, and systems issues. Provide support in developing and maintaining bill processing controls, including determining restrictions on service code utilization based on code descriptions (HCPCS/CPT). Analyzing the performance of bill processing contractors by reviewing claim transactions to ensure accurate billing and processing, designing and implementing medical coding studies, and providing analysis and recommendations on medical coding practices, and response to customer inquiries.
RESPONSIBILITIES:
Plans, designs, and implements assignments, projects, and/or studies in the areas of medical coding. Utilizes current medical and scientific knowledge available in reference manuals, books, and other documents on how they clinically and administratively apply to the OWCP Central Bill Processing (CBP) processes.
Develops training materials for staff as necessary.
Determines new techniques and advancements to ensure the accurate application of medical coding on the processing of medical bills.
Monitors the utilization of medical services to identify over-utilization patterns. Produces reports with recommendations to curb this practice.
Participates in OWCP projects related to containment of medical costs.
REQUIREMENTS:
Must be a Certified Professional Coder (CPC) from either the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).
Must have either five (5) years general CPC experience or (preferred) two (2) years specifically with a medical insurance company or other payor.

Job Tags

For contractors,

Similar Jobs

US Digestive Health

Revenue Integrity Manager Job at US Digestive Health

...Description Reports to : VICE PRESIDENT OF REVENUE CYCLE MANAGEMENT Supervises: SUPERVISORS, TEAM LEADS, AND STAFF Responsible And... ...perceptions and corrected visual acuity Manuel dexterity to operate keyboard, calculator, and photocopier Involvement with...

Franchise Tax Board

EEO Investigator- Discrimination/Harrassment Job at Franchise Tax Board

...for more information regarding the 2025 Personal Leave program. Under the general direction of the EEO Supervisor and lead Discrimination Complaint (DC) Investigator in the Equal Employment Opportunity (EEO) Office, the incumbent will participate in a wide variety of...

University of Illinois

Clinical Research Coordinator - Cancer Center - Clinical Trials Office Job at University of Illinois

...Clinical Research Coordinator - Cancer Center - Clinical Trials Office Hiring Department : Clinical Trials Office Location : Chicago, IL USA Requisition ID : [click to reveal phone number]1036074 Posting Close Date : August 1, 2025 Salary: The budgeted...

Conch Technologies Inc

Tandem Cobol Developer Job at Conch Technologies Inc

...Tandem Cobol Developer Contract Remote Essential Job Responsibilities: Analyze and evaluate complex business problems and their impact within transaction processing and back-office application systems. Create and develop system applications utilizing...

Jibble Group

English Content Writer Job at Jibble Group

...businesses with our software. About Jibble Group We're a scale-up in the Workforce Management space that has fully embraced remote work since 2017. Headquartered in London, UK, we have close to 80 staff in 16 different countries. We launched PayrollPanda.my and...

Medical Coder Job at AQIWO, Inc., Washington DC

YWFBUHdWeEFlWDBiNjRCZFM5RFU2anBMQWc9PQ==