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Coding Policy Analyst *Remote*
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Job Description
- Req#: 300006377456358
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $57.56, depending on location and experience
- Opportunity for career advancement and growth within a comprehensive healthcare organization
- 100% remote work available for applicants residing in specific states
- Comprehensive benefits package including health care, retirement savings plan with employer matching, and paid time off
- Supportive and inclusive workplace culture that values diversity and collaboration
- Chance to make a significant impact on healthcare operations and patient care through coding policy development
What to Expect (Job Responsibilities):
- Coordinate and update Coding Policies and edit configurations within the claims editing system
- Respond to provider and member appeals, providing rationale for Coding Policy edits
- Monitor changes to codes, guidelines, and regulations from external agencies
- Assist with implementing changes to claims adjudication and editing software
- Collaborate with team members to ensure accurate coding practices and compliance
What is Required (Qualifications):
- Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire
- 5 years of experience directly related to CPT coding from chart extraction in a healthcare setting
- 5 years of excellent writing and grammar skills
- 5 years of demonstrated experience in detailed coding applications and proficiency in Microsoft Office
- Strong analytical skills with attention to detail
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree or relevant 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
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