Claims Edit Specialist

Centennial

Thursday, 23 April 2026

This is an advanced level claims edit specialist position reporting to the HB Manager Coding Auditor/ Educator. The Claims Edit Specialist will review and resolve hospital-based claim edits for both inpatient and outpatient services and provide specific education on these claim edits to hospital coders through a variety of mediums, including direct interactive learning sessions individually or in group settings, written guides, protocols, etc. Responsible for facilitating training, education, and support to hospital coders which may be based on detailed analysis of general or coder-specific trends, focus-recommended edits, or support teams. S/he provides support to all areas of Management, internal Coding, and Billing. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:- Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - North Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- West Virginia- Wyoming. Job Requirements. Required Education and Experience:HS Diploma/ GED - Preferred Education and Experience:Associates degree or equivalent work experience in lieu of degree, preferred. Required Licensure and Certifications:CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA - Certified Professional Coder (CPC Certification)CCS (Certified Coding Specialist)CCS-P (Certified Coding Specialists – Physician based)RHIT (Registered Health Information Technician)RHIA (Registered Health Information Administrator)Where You'll Work. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Total Rewards Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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