Medical Coder - Arbitration

Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.

Minimum Requirements

- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.

- Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist.

- Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS.

- Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday.

Preferred Skills and Experience:

- At least 2 years of coding experience.

- Experience with CPT modifiers and how they impact reimbursement.

- Familiarity with retrospective payment reimbursement.

- Understanding of the No Surprises Act and its implications for billing practices.

- Proficiency in reading and interpreting Explanations of Benefits (EOBs), including recoupments, corrections, and other claim adjustments.

Please note: For this position Maximus will provide equipment to use.

Home Office Requirements:

- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)

- Minimum 5mpbs upload speed

- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router

- Private and secure work area and adequate power source

- Must currently and permanently reside in the Continental US

- Must have a smartphone which will be required to log into Maximus systems

EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Annual salary is just one component of Maximus's total compensation package.

Other rewards may include short- and long-term incentives as well as program-specific awards.

Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.

Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience.

An applicant's salary history will not be used in determining compensation.

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