Benefits Coding Analyst :: 100% Remote at Remote, Remote, USA |
Email: [email protected] |
From: Sweety, Source InfoTech Inc [email protected] Reply to: [email protected] Hi, Please find the details of Requirement. Benefits Coding Analyst 100% Remote 6+months C2h Visa: GC/USC LinkedIn is must !! Note- * This position is 100% remote but candidates must have a current residence in one of the follow states or being willing to relocate: AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI 4+ years benefit/medical coding CPC Certified Professional Coder required Clinical Knowledge Coded in several different areas of hospital , claims editing , auditing experience Job Summary: The Benefits Coding Analyst II Certified Professional Coder maintains the integrity of the plan benefits for each program and is responsible for developing an extensive expertise of all plan benefits. The Level 2 Benefits Coding Analyst will work closely with multiple teams across the Health Plan, including but not limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned with Program benefit offerings. This position is responsible for synthesizing the input from multiple stakeholders to inform significant business decisions regarding benefit implementation as well as coordinating and maintaining benefit design documentation for the organization. . Qualifications: : Bachelor's Degree Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) within 12 months of employment Certified Professional Coder certification (CPC) required Medical Assistant Certification preferred * Minimum 4 years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits preferred. Experience resolving billing and claims issues related to benefit to code assignment. Thorough knowledge of anatomy and medical terminology Expertise with NCCI (National Correct Coding Initiative) guidelines Knowledge or direct experience processing Government program or commercial health claims for an MCO Experience with ICD-10 CM, CPT, HCPCS, and Revenue coding in a managed care setting Thanks, Sweety IT Recruiter Source InfoTech Inc., Voice: (609) 934-545 Ext - 135 Email: [email protected] Disclaimer: If you are not interested in receiving our e-mails then please reply with a "REMOVE" in the subject line at [email protected] for automatic removal. And mention all the e-mail addresses to be removed with any e-mail addresses, which might be diverting the e-mails to you. We are sorry for the inconvenience Keywords: information technology green card trade national Alabama Delaware Florida Georgia Idaho Kansas Louisiana Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Pennsylvania South Carolina South Dakota Tennessee Texas Virginia Washington West Virginia Wisconsin |
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Thu Jul 20 23:01:00 UTC 2023 |