| Claims Coding Specialist- Urgent Need at Remote, Remote, USA |
| Email: [email protected] |
| Claims Coding Specialist- Urgent Need 100% Remote Duration: 3+ month No H1-b and CPT A health plan client of ours is seeking someone with strong coding background (or CPC certification) to act as a Subject Matter Expert for Claims Edit System (CES) edits. Key tasks include reviewing edits against payment policies, benefit structures, and Medicare/Massachusetts Medicaid requirements, as well as documenting recommendations for leadership approval. This would be a 90-day contract (100% remote) and were looking for someone to start in the next 2 weeks (or sooner) We need someone with Optum CES experience, this is crucial. Please send candidates with strong CES experience Prequalification Questions Claims Editing Experience: Please elaborate on your Optum CES experience Policy Review Expertise: Have you worked with payment or medical policies, including Medicare or Medicaid (especially Massachusetts Medicaid), to ensure compliance with edits and claims processing Coding Certification & Skills: Are you a certified coder (e.g., CPC) with at least 5-7 years of coding experience, and how have you applied this expertise to claims or payment policy reviews Thanks & Regard Mike | Sales and Recruitment Head| Pransu Tech Solutions Email: [email protected] -- Keywords: information technology Claims Coding Specialist- Urgent Need [email protected] |
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| Thu Dec 12 20:51:00 UTC 2024 |