Home › Companies › Hckd Fa Us2 Oraclecloud Com CX 1 › Analyst, 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
| Field | Value |
|---|---|
| Company | Hckd Fa Us2 Oraclecloud Com CX 1 |
| Title | Analyst, Pre-Pay Dispute Coding-CPC (Remote) |
| Normalized title | - |
| Department / team | Operations |
| Location | United States |
| Work model | Remote / Remote |
| Employment type | Full Time |
| Salary | - |
| Status | deleted |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-05-26 / 2026-05-31 |
| Changed / last seen | 2026-06-20 / 2026-06-18 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Hckd Fa Us2 Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| Department jobs | Active postings in Operations. | Open |
| Work model jobs | Active Remote postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Hckd Fa Us2 Oraclecloud Com CX 1 |
| Source | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| ATS provider | Oracle 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 ID | dd2c95723876243fdbfa08da35b3754aec740ffa |
| Org ID | 6fcfe228-ec8c-4e31-bf8d-2e5d2cb49f0a |
| Source ID | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| Board ID | 8214b818-efda-4f30-9713-cac0e888e0f9 |
| Provider | oracle_hcm |
| Provider Job Key | 2037561 |
| Title | Analyst, Pre-Pay Dispute Coding-CPC (Remote) |
| Normalized Title | — |
| Status | deleted |
| Active | no |
| Location Text | United States; Remote Employees, Long Beach, CA, US |
| Department | Operations |
| Team | — |
| Employment Type | full_time |
| Workplace Type | remote |
| Remote Policy | remote |
| Country | United States |
| Region | — |
| City | — |
| Salary Raw | 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. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037561 |
| Apply URL | https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2037561 |
| First Seen At | 2026-05-31 18:03:56Z |
| Last Seen At | 2026-06-18 11:28:22Z |
| Last Checked At | 2026-06-20 12:21:56Z |
| Last Changed At | 2026-06-20 12:21:56Z |
| Inactive At | 2026-06-20 12:21:56Z |
| Source Posted At | 2026-05-26 19:40:30Z |
| Source Updated At | — |
| Raw Payload Uri | s3://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 |
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