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Looking for Claims Coding Specialist Remote at Remote, Remote, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2011134&uid=

From:

Sushmita Soni,

Sonitalent

[email protected]

Reply to: [email protected]

Hi

Hope you are doing well,

We are looking for
Claims Coding Specialist if you are interested kindly send me your updated resume.

Job Title

Claims Coding Specialist

Location

Remote

Duration of project

3 months

Required visa

Any visa (Except and CPT)

Mode of Interview

Video

This would be a 90-day contract (100% remote) and were looking for someone to start in the next 2 weeks (or sooner). Who do you know

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.

We need someone with Optum CES experience, this is crucial. Please send candidates with strong CES experience. Our client is actively interviewing.

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 & Regards

Sushmita Soni

Sr. Technical Recruiter
| SoniTalent Corp.

Desk | 859-659-1004 EXT 201

[email protected]

Address
-
5404 Merribrook Lane, Prospect, KY, USA

Keywords: Kentucky
Looking for Claims Coding Specialist Remote
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2011134&uid=
[email protected]
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07:14 PM 13-Dec-24


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