Remote Jobs
Coding Policy Analyst *Remote*
What's your preference?
Job Description
- Req#: 300007067880790
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $57.56 depending on location
- Comprehensive benefits package including medical, dental, vision, and retirement plans with employer matching
- Opportunity for career advancement and growth within the organization
- Work remotely from designated states (Washington, Oregon, California)
- Supportive and inclusive workplace culture that values diversity and individual contributions
- Chance to make an impact in patient care and support vulnerable communities
What to Expect (Job Responsibilities):
- Coordinate the creation and updating of Coding Policies and edit configurations within the claims editing system
- Respond to provider and member appeals with appropriate coding rationale and documentation
- Monitor changes to coding guidelines and regulations from external agencies and implement these changes in the editing software
- Serve as a coding subject matter expert for internal departments on CPT, HCPCS, and ICD-10 codes
- Collaborate with the Benefits Management Team and Regulatory Department to ensure compliance with member benefits and regulations
What is Required (Qualifications):
- Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
- Minimum of 5 years of experience in CPT coding from chart extraction with a healthcare provider, health insurance company, or capitated managed care company
- Minimum of 5 years of excellent writing and grammar skills
- Minimum of 5 years of experience in detailed coding applications and proficiency in Microsoft Office tools including Excel, Word, and Access
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree or experience in a Healthcare or Health Plan setting with coding and auditing
- 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software
#HealthcareServices #CodingPolicy #RemoteWork #CareerOpportunity #InclusiveWorkplace
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.