Providence Health & Services
Coding Policy Analyst *Remote*
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Job Description
- Req#: 383518
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $57.56 per hour, based on location
- 100% remote work opportunity for applicants residing in select states
- Excellent benefits designed to support overall well-being and financial security
- Opportunities for professional growth and development within the organization
- A culture that values employee input and fosters a patient-focused work environment
What to Expect (Job Responsibilities):
- Update and create Coding Policies and associated edit configurations within the claims editing system
- Respond to provider and member appeals, providing appropriate coding rationale
- Monitor changes to codes, guidelines, and regulations from external agencies
- Assist in implementing changes to claims adjudication and editing software
- Collaborate with teams to ensure compliance with coding standards and policies
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, insurance company, or managed care company
- 5 years of excellent writing and grammar skills
- 5 years of demonstrated experience in detailed coding applications
- Proficiency in Microsoft Office, including Excel, Word, and Access
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree or experience in a Healthcare or Health Plan setting
- 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software
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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
Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.
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