Medical Claims Processing Specialist- Certified Medical Coders
North Dakota State Government - Bismarck, ND

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Requires a high school diploma or GED and 2 years of experience processing medical claims and must be a certified professional coder.

Application Procedures:
Closing date has been extended to increase applicant pool. Prior applicants do not need to reapply.

Submit a completed North Dakota State Application (SFN 10950), cover letter, resume, references, to:

Workforce Safety and Insurance

Attn: Jill Mugaas, Human Resources

1600 E Century Ave Suite 1

Bismarck, ND 58506

Application materials may also be submitted by fax to (701) 328-3770 or emailed to wsijobs@nd.gov . Applicants may also find the application on the agency website www.workforcesafety.com Application materials must be received at the agency by the closing date. Application forms are available from your agency or any ND Job Service office. For any questions regarding the application process, please contact Jill Mugaas at 701-328-3849.

Applicants who are residents of North Dakota and eligible to claim veteran's preference must include a copy of DD Form 214. Claims for disabled veteran's preference must also include a current statement of disabled status from the U.S. Department of Veterans Affairs.

ND Relay Number: 1-800-366-6888

Summary of Work:
Reviews CMS 1500 medical bills for medical necessity of services and appropriateness of care.

ESSENTIAL FUNCTIONS:
Reviews CMS 1500 medical bills to determine relatedness of charge(s) and appropriateness of care.
Reviews and applies appropriate CPT, ICD-9, and HCPC coding for services rendered.
Provides and receives information for the department in a professional, friendly, and courteous manner.
Communicates effectively and professionally both verbally and in writing.
Ensures appropriate demographics and fee scheduling of instate and out-of-state billings.
Assists adjuster with correctness and appropriateness of coding on billings.
Continuing education to keep current with the reimbursement industry standards.

North Dakota State Government - 19 months ago - save job - block