Geisinger
Coding and Cost Analyst I - medical claims coding and claim edit review, Geisinger Health Plan (Pennsylvania resident)
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Job Description
- Req#: R-90125
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from the comfort of your home in Pennsylvania
- Comprehensive healthcare benefits from day one, including vision and dental coverage
- Supportive and collaborative work environment that values diversity
- Chance to make a positive impact on patient care and community health
What to Expect (Job Responsibilities):
- Conduct thorough reviews of billed services, authorizations, plan benefit documents, and medical records to ensure compliance
- Provide review and recommendations for correct coding, appropriate billing, and reimbursement across Health Plan departments
- Validate claim payments and assist in clinical reviews related to claims and appeals processes
- Create and maintain various reports to track department data and assist in group discussions on challenging medical reviews
- Participate in selected workgroups and committees, and assist with onboarding new team members as needed
What is Required (Qualifications):
- Minimum of 3 years of relevant experience in a healthcare-related role
- High School Diploma or equivalent (GED) is required
- Certification as a Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist (CCS) through AHIMA is required
- Strong computer literacy and critical thinking skills
- Ability to work independently and as part of a team
How to Stand Out (Preferred Qualifications):
- Graduate from a Specialty Training Program
- Minimum of 2 years of clinical experience in a healthcare setting
- Licensed Practical Nurse (LPN) certification preferred
#HealthcareServices #RemoteWork #CareerOpportunity #DiversityAndInclusion #HealthcareBenefits
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