Claims Edit Specialist

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

This is an advanced level claims edit specialist position reporting to the HB Manager Coding Auditor/Educator.  The Claims Edit Specialist will review and resolve hospital-based claim edits for both inpatient and outpatient services and provide specific education on these claim edits to hospital coders through a variety of mediums, including direct interactive learning sessions individually or in group settings, written guides,  protocols, etc.  Responsible for facilitating training, education, and support to hospital coders which may be based on detailed analysis of general or coder-specific trends, focus-recommended edits, or support teams. S/he provides support to all areas of Management, internal Coding, and Billing.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

- Alabama- Arizona- Arkansas- Colorado 

- Florida- Georgia- Idaho- Indiana  

- Iowa- Kansas - Kentucky- Louisiana 

- Missouri- Mississippi- Nebraska- New Mexico 

- North Carolina- Ohio- Oklahoma- South Carolina 

- South Dakota- Tennessee- Texas- Utah 

- Virginia- West Virginia- Wyoming

Required Education and Experience:

• HS Diploma/GED

Preferred Education and Experience:

• Associates degree or equivalent work experience in lieu of degree, preferred

Required Licensure and Certifications:

• CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA

• Certified Professional Coder (CPC Certification)

• CCS (Certified Coding Specialist)

• CCS-P (Certified Coding Specialists – Physician based)

• RHIT (Registered Health Information Technician)

• RHIA (Registered Health Information Administrator)