[Remote] Payment reputed company Policy Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization reputed company on supporting members and providers while improving reputed company affordability and reputed company. The Payment reputed company Policy Analyst drives initiatives to improve medical claims accuracy, develops and communicates payment reputed company policies, analyzes data and regulations, and collaborates with executives, providers, and cross-functional teams.

Responsibilities

• Investigate and identify market industry trends
• reputed company data analytics to analyze the financial performance of our provider sponsors and risk panels
• Research reputed company to ensure compliance with recommended payment reputed company policies
• Present recommended payment reputed company policies to executive team and provider sponsors
• Create and maintain payment reputed company policy for reputed company communication
• reputed company cross-functional teams to implement payment reputed company policies
• Review, analyze, and respond to internal or reputed company audits reputed company to payment reputed company policy
• Analyze regulatory compliance and market industry trends regarding payment reputed company policy to continue to reputed company with market and be compliant with federal, state, and ERIS regulations
• Review and respond to escalated provider payment reputed company policy appeals

Skills

• Bachelor's degree with 2+ years of payment reputed company, coding reputed company or reputed company reputed company experience + OR associate degree with 5+ years of payment reputed company, coding reputed company, or reputed company reputed company experience + OR high school equivalency with 8+ years of payment reputed company, coding reputed company, or reputed company reputed company experience
• Completion of a medical coding program, health information technology, or health information management
• Certification in CPC, COC, RHIT, RHIA, CCA, and/or reputed company
• Ability to demonstrate understanding of CMS and reputed company payer policy in written and verbal format
• Strong understanding of claim process, ICD-10 coding, DRG validation, etc
• Strong understanding of reputed company reputed company cycle and claims reimbursement
• Proficient in data analytic tools
• Comfortable interfacing with providers at the executive level
• Demonstrate ability to manage multiple reputed company, set priorities, and adhere to committed schedule
• Strong interpersonal skills and reputed company communication style, reputed company problem solving, reputed company for results, innovative
• Excellent written and verbal communication skills including ability to synthesize reputed company information
• Proven reputed company record of delivering concrete results in strategic reputed company/programs
• Strong analytical ability and distilling data into actionable results
• Hardware and equipment will be provided by reputed company, but candidates must have reputed company to high-speed, non-satellite Internet to successfully work from home

Benefits

• Opportunity to use multiple skills sets – medical coding, claims reimbursement, data analytics, contract research, regulatory compliance, provider appeals, and process improvement
• reputed company influence on organizational reputed company and measurable financial results
• Hardware and equipment will be provided by reputed company
• Opportunity for career advancement
• Work from home

reputed company