Cook Systems
Sr. Clinical Coder
Phoenix, Arizona · Senior · Contract
No sponsorshipDetected 14 days ago
ICD-10ResearchCommunicationProblem SolvingMentoringClaims Management
About the role
- Launch Your Career with Cook Systems Since 1990, Cook Systems -a certified veteran-owned IT consulting firm-has been helping businesses and professionals grow through innovation, integrity, and investment in people.
- At Cook, you'll find a culture that values excellence, creativity, and accountability.
- Check out what our team members have to say on our Glassdoor page, and discover why Cook Systems is where meaningful careers take off!
Responsibilities
- Lead coding projects as directed by Clinical Operations management.
- Research TRICARE manuals to assist with the Referral and Authorization Decision Support tool process.
- Review and document coding issues identified by the TRICARE Quality Monitoring Contractor.
- Perform other duties as assigned, ensuring regular and reliable attendance.
- We partner with Fortune 500 enterprises and high-growth companies alike to deliver agile technology solutions, AI-driven talent strategies, and our signature FastTrack program that develops the next generation of tech talent.
- We believe in opportunity backed by trust-and in building careers that last.
- Build your future with our 401(k) plan through The Standard.
- Let's build the future together at Cook Systems.
Requirements
- U.S. Citizenship required.
- Ability to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
- Minimum 5 years of clinical coding experience for facility and/or professional accounts.
- Minimum 3 years of claims processing experience for inpatient and/or outpatient accounts.
- Documented experience in a fast-paced environment.
- Advanced knowledge of ICD-10-CM, ICD-10 PCS, HCPCS, and CPT coding
- proficiency with Word and Excel.
- Ability to function in a multi-system Microsoft environment.
- High School Diploma or GED.
- Current certification as Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT).
- Preferred experience in the private medical industry, health insurance, or Managed Care field.
- Familiarity with TRICARE and the military healthcare delivery system is preferred.
- Strong problem-solving, organizational, and communication skills.
- #Ll:Remote
Benefits
- Choose from two comprehensive medical plans through Blue Cross Blue Shield, with dental and vision coverage included.
- Our Health Gap Insurance through Sun Life helps cover unexpected costs, so you're never caught off guard.
- Serve as the subject matter expert on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding of medical claims.
- Perform DRG Validation of medical claims coding using current coding guidelines and support software.
- Identify questionable review decisions and escalate to the appropriate Medical Director.
- Provide accurate data entry in the medical management and claims system.
- Plan ahead and save with a Flexible Spending Account and Daycare FSA through Navia, helping you manage healthcare and dependent-care expenses your way.
Company info
- At Cook Systems, you're not just an employee-you're part of a team that values ideas, celebrates results, and grows together.
- Ready to be part of something bigger?
Visa & Work Authorization
- Citizenship required
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This listing is sourced directly from Cook Systems's careers page and normalized into a canonical job model.