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Job Description
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 Data Integrity Specialist responsible for working on government claim cues, claim edits, applying modifiers, checking codes for procedural inclusiveness, CDM work, and ROIs. Key Responsibilities Work on cues (government claims), including claim edits. Apply modifiers and ensure codes are inclusive of procedures. Perform CDM work and manage ROIs. Qualifications Epic experience is essential for a quick start. Strong background in Billing and Coding within the Revenue Cycle space. Experience with claim edits. Expertise in Modifiers, specifically understanding when and why to apply them for HB. Preferred experience includes hospital/facility side or working with a vendor. Ideal candidates are quick learners, critical thinkers, and intuitive professionals who ask questions as needed.
Skills Technical Skills:
Epic, HB, knowledge of modifiers.
Soft Skills:
Quick learner, critical thinker, intuitive, good communication and problem-solving skills. Additional Requirements Must be willing to work PST hours, 8 am - 5 pm, Monday to Friday. Preference for candidates residing in Texas, Arizona, Utah, Florida, Idaho, Oregon, Washington, or California. Benefits Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 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 6 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. • 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.
