Inpatient Facility Coder

Company: Axis Employment Services
Location: Phoenix
Posted on: April 3, 2025

Job Description:

Job Summary:

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--- Performs claims coding and pricing reviews using current coding guidelines.
--- Performs focused claims reviews as requested by management and summarizes findings.
--- Identifies and reports potential fraudulent or quality issues.
--- Acts as a resource for TriWest staff on ICD-10-CM, ICD-10 PCS, CPT and HCPCS coding.
--- Researches TRICARE manuals for benefits, limitations and exclusions and current coding guidelines to assist with the Referral and Authorization Decision Support tool process
--- Monitors and tracks timeliness of retrospective claims reviews response to ensure compliance with required timelines for completion of assigned reviews.
Required:
High School Diploma or GED
--- Current Certification as a Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
--- U.S. Citizen
--- Must pass drug test and DOD background check.
--- Minimum 2 years of clinical coding experience for either outpatient and/or inpatient accounts
--- Minimum 2 years of claims processing experience in outpatient and/or inpatient accounts

Keywords: Axis Employment Services, Phoenix , Inpatient Facility Coder, Other , Phoenix, Arizona