You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Medical Coder with a focus on Electronic Transaction Management (ETM) denial research within Anatomical Pathology. The primary responsibility is to review claims denied by insurance companies, identify root causes like incorrect coding or missing modifiers, and prepare them for correction. The role offers remote work opportunities for candidates residing in certain states.
Key Responsibilities
- Conduct deep-dive research into high-volume denial queues, handling approximately 1,000 total claims pending.
- Perform initial reviews and identify necessary charge corrections or modifiers to be implemented by the coding manager.
- Meet productivity metrics by processing approximately 20–25 claims per day with high-quality research.
- Work within Beeker, a pathology specific workflow, and EPIC systems.
Qualifications
- Location: 100% Remote; candidates must reside in MD, DE, AL, FL, GA, TN, or TX.
- Must hold a CPC or CCS certification.
- Proven experience in professional fee (Pro-fee) coding and denial research is required.
- 1-2 years of previous Anatomic Pathology Coding experience.
Schedule:
- Mon-Fri: 8am hour days
- Start Times: 7am EST - 9am EST
Skills
- Proficiency in Beeker/EPIC and IDX is strongly preferred. Training will be provided for Epic and Athena.
Additional Requirements
The role operates on a Monday to Friday schedule with 8-hour days. Start times range from 7am EST to 9am EST.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers six different health plans: three Major Medical Plans, two Fixed Indemnity Plans (Standard and Preferred), and one Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first four weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following six consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
