Offer summary

Qualifications:

Experience in billing and coding, particularly with ICD-10-CM, CPT, and HCPCS guidelines., Strong attention to detail and accuracy in reviewing documentation and claims., Familiarity with electronic medical record systems and payer guidelines., Ability to work independently in a remote setting with a reliable internet connection..

Key responsibilities:

Review and resubmit scrub edits, payer front-end rejected, and denied claims.

Ensure accuracy of billing and coding by reviewing relevant documentation and contracts.

Abstract data accurately into client electronic medical record systems.

Follow official coding guidelines and directives from relevant authorities.

Job description

The Billing and Coding Specialist is responsible for the review and resubmission of scrub edits, payer front-end rejected, and denied claims. Ensure the accuracy of billing and coding by reviewing documentation, client contracts and/or payer guidelines. Accurately abstract data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, and CMS directives

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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