We are seeking a Medical Coding Assistant to support our Case Management and Utilization Management departments. The ideal candidate will have strong data entry and computer skills, be proficient in Microsoft Office products, and have customer service experience. This position involves processing electronic provider faxes, verifying medical coding accuracy, and making outbound calls to gather discharge dates.

Location: Remote (Must reside in the state of TN)

Key Responsibilities:
• Screen incoming calls, faxes, and other digital requests, directing them to the appropriate department.
• Review and enter diagnosis and procedure codes (ICD-9-CM, CPT, HCPCS, UB-92) for prior authorizations.
• Ensure accuracy in medical coding and documentation to support utilization management and claims processing.
• Communicate with members, hospitals, and provider staff regarding UM decisions, authorization statuses, and next steps.
• Accurately process and track electronic provider faxes to meet audit and compliance requirements.
• Verify medical codes, reimbursement methodologies, and payer requirements for accurate claim submission.
• Adhere to assigned schedules with flexibility for rotations and potential overtime as needed.
• Participate in mandatory training, testing, and team meetings.
Qualifications:
Education:
• High School Diploma or equivalent required.
Experience:
• 1 year of customer service experience required.
• Medical coding or billing experience is a plus.
• Experience in Utilization Management, Care Management, or Behavioral Health is preferred.
Skills & Certifications:
• Proficiency in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
• Strong oral and written communication skills.
• Exceptional time management, decision-making, and problem-solving abilities.
• Ability to multitask, type while talking, and work independently or in a team environment.
• Knowledge of medical coding, provider reimbursement methodologies, UHDDS coding guidelines, and AHA Coding Clinic is highly preferred.
Additional Details:
• Initial responsibilities will focus on data entry and handling electronic faxes.
• Candidates must be comfortable making outbound calls to confirm discharge dates.
• Attention to detail and accuracy in medical coding are crucial to ensure efficient processing.
Apply Now!
If you have a passion for medical coding, healthcare administration, and data accuracy, we want to hear from you! Apply today to join our growing team.



EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.