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HomeCompaniesHckd Fa Us2 Oraclecloud Com CX 1Analyst, Pre-Pay Dispute Coding-CPC (Remote)

Analyst, Pre-Pay Dispute Coding-CPC (Remote)

Hckd Fa Us2 Oraclecloud Com CX 1 · United States; Remote Employees, Long Beach, CA, US · Remote · Deleted · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyHckd Fa Us2 Oraclecloud Com CX 1
TitleAnalyst, Pre-Pay Dispute Coding-CPC (Remote)
Normalized title-
Department / teamOperations
LocationUnited States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusdeleted
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-26 / 2026-05-31
Changed / last seen2026-06-20 / 2026-06-18

Related slices

PageWhat it containsOpen
Company jobsActive postings from Hckd Fa Us2 Oraclecloud Com CX 1.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Department jobsActive postings in Operations.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHckd Fa Us2 Oraclecloud Com CX 1
Source8214b818-efda-4f30-9713-cac0e888e0f9
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description Job Description Job Summary Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations. Job Duties Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered. Conducts independent audits of non-medical records to verify billing accuracy, making decisions within designated authority to either overturn or uphold denials in a timely manner. Generates and communicates the determination to the provider using appropriate letter language and providing any necessary guideline links. Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and track issues to ensure precise code editing and compliance. Completes data points within internal applications to comply with auditing requirements used within the departments of Molina. Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures. Job Qualifications REQUIRED QUALIFICATIONS: At least 2 years of experience in medical coding or billing. Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification. Strong attention to detail and ability to independently read and comprehend the details of medical records. Comfortable working in a production-centric environment with high quality standards. Ability to use Microsoft Office including Outlook, Word, and Excel. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Full job record

Job IDdd2c95723876243fdbfa08da35b3754aec740ffa
Org ID6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a
Source ID8214b818-efda-4f30-9713-cac0e888e0f9
Board ID8214b818-efda-4f30-9713-cac0e888e0f9
Provideroracle_hcm
Provider Job Key2037561
TitleAnalyst, Pre-Pay Dispute Coding-CPC (Remote)
Normalized Title
Statusdeleted
Activeno
Location TextUnited States; Remote Employees, Long Beach, CA, US
DepartmentOperations
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
Region
City
Salary RawDescription Job Description Job Summary Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations. Job Duties Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered. Conducts independent audits of non-medical records to verify billing accuracy, making decisions within designated authority to either overturn or uphold denials in a timely manner. Generates and communicates the determination to the provider using appropriate letter language and providing any necessary guideline links. Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and track issues to ensure precise code editing and compliance. Completes data points within internal applications to comply with auditing requirements used within the departments of Molina. Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures. Job Qualifications REQUIRED QUALIFICATIONS: At least 2 years of experience in medical coding or billing. Active and unrestricted Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification. Strong attention to detail and ability to independently read and comprehend the details of medical records. Comfortable working in a production-centric environment with high quality standards. Ability to use Microsoft Office including Outlook, Word, and Excel. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037561
Apply URLhttps://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037561
First Seen At2026-05-31 18:03:56Z
Last Seen At2026-06-18 11:28:22Z
Last Checked At2026-06-20 12:21:56Z
Last Changed At2026-06-20 12:21:56Z
Inactive At2026-06-20 12:21:56Z
Source Posted At2026-05-26 19:40:30Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=hckd.fa.us2.oraclecloud.com|CX_1/date=2026-06-18/2026-06-18T11-27-47-090Z-dfbc0d76055a68f6956799df230da8edefce54de0fc85ff747589f73e600f7d0.json
Event Fields
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Extensions
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