Geisinger
Medical Coding – Vendor and Claims Edit Specialist, Geisinger Health Plan (Pennsylvania resident)
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Job Description
- Req#: R-89510
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere in Pennsylvania
- Comprehensive healthcare benefits, including vision and dental, available from day one
- Supportive and collaborative work environment that values diversity
- Chance to make a positive impact on healthcare coding and claims processes
What to Expect (Job Responsibilities):
- Act as a leader and resource collaborating with management, physicians, and staff on coding standards
- Apply knowledge of CPT, ICD-10, and HCPCS coding to develop and maintain claim edits
- Research and clarify coding issues, ensuring compliance with clinical and reimbursement policies
- Lead internal development and testing of claims edits and coordinate with vendor partners
- Mentor less experienced staff and compile performance reports for vendor initiatives
What is Required (Qualifications):
- Minimum one certification required: Certified Professional Coder (CPC) or Certified Professional Biller through AAPC
- High School Diploma or Equivalent (GED) required
- Minimum of 5 years of related work experience required
- Must possess certification(s) from the American Academy of Professional Coders (AAPC)
- Strong knowledge of coding standards and compliance regulations
How to Stand Out (Preferred Qualifications):
- Graduate from a Specialty Training Program
- Minimum of 5 years of experience in Health Insurance/Managed Care
#HealthcareServices #Coding #RemoteWork #DiversityAndInclusion #CareerGrowth
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