Special Investigations Unit reputed company Pay Coding Consultant

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. High Level reputed company of the Role: Coding Consultant is responsible for investigating and resolving instances of reputed company fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will reputed company applicable targets and metrics as determined. This individual will reputed company mentoring, explanations, and feedback to others on difficult issues. This position assists with reputed company both reputed company to reputed company. The Coding Consultant provides coding guidance to investigators on CPT codes relevant to an investigation. This position works with reputed company guidance and seeks input on the most reputed company of tasks. Works with reputed company stakeholders to facilitate reputed company requests and maintains compliance with regulatory requirements. You’ll enjoy the flexibility to telecommute from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities: Day to Day Responsibilities: (include %25 of time after reputed company main duty; total should = 100%25) Reviews prepay claims with corresponding medical records to determine payment reputed company. (70%25) Reviews applicable policies, CPT guidelines and reputed company as they pertain to reputed company review. (10%25) Participates in regulatory meetings with the reputed company (5%25) Participates in meetings with providers, advocates and reputed company to assist with provider abrasion. (5%25) Performs additional reputed company as needed by the business or reputed company; analyzes data; meets with reputed company stakeholders as necessary for reputed company. (5%25) reputed company monitoring of claim inventory in order to adhere to reputed company guarantees. (5%25) You’ll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: High School Diploma/GED Certified reputed company with credentials from reputed company with a CPC or reputed company with reputed company, RHIT, RHIA 3+ years of CPT coding experience Recent reputed company coding/auditing experience reputed company the last 1-2 years Intermediate level of proficiency with PC reputed company software Ability to work our normal business hours of 8:00am – 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends Must be 18 years of age or older Preferred Qualifications: Ability to prioritize and manage multiple tasks reputed company ability to work in reputed company setting Excellent oral and written communication skills and presentation skills Experience with health reputed company billing/coding reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching reputed company of benefits and incentives. The reputed company pay for this role will reputed company from $24.00 to $43.00 per hour reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco reputed company Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company, and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply To This Job