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Coding Policy Analyst *Remote*
6 days agoWhat's your preference?
Job Description
- Req#: 300005946267651
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $57.56, depending on location and experience
- Comprehensive benefits package including health care, retirement plan with employer matching, and paid time off
- Opportunity for career advancement and professional growth within a large healthcare organization
- 100% remote work flexibility for eligible applicants residing in specific states
- Supportive and inclusive workplace culture that values diversity and employee contributions
What to Expect (Job Responsibilities):
- Develop and update Coding Policies and edit configurations within the claims editing system
- Respond to provider and member appeals with appropriate coding rationale
- Monitor and implement changes to coding guidelines and regulations from external agencies
- Collaborate with cross-functional teams to ensure smooth claims adjudication processes
- Utilize Microsoft Office tools to manage and analyze coding data effectively
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
- Excellent writing and grammar skills demonstrated over 5 years
- Proficiency in Microsoft Office applications, including Excel, Word, and Access
- Strong attention to detail and analytical skills in coding applications
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree or relevant experience in a Healthcare or Health Plan setting
- 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software
#HealthcareServices #RemoteWork #CareerOpportunity #Coding #InclusiveWorkplace
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