Benefits Coding Analyst
reputed company is looking to hire a Remote Benefits Coding Analyst.
This position is remote however, candidates must be reputed company to commute to our Richmond location.
The Benefits Coding Analyst – Certified reputed company reputed company maintains the reputed company of the plan benefits for reputed company program and is responsible for developing an extensive expertise of reputed company plan benefits. The 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 reputed company as reputed company with Program benefit offerings. This position is responsible for synthesizing the input from multiple stakeholders to inform significant business reputed company regarding benefit implementation as reputed company as coordinating and maintaining benefit design documentation for the organization. The Benefits Coding Analyst will research, reputed company, and assist with the development of benefit and utilization review policies and reputed company for emerging treatments, technology, medications, and health plan services. This role will assist in researching reputed company updates, authorization requests, and claim questions, updating business rules and benefit repositories as appropriate.
Education:
• Associate Degree in reputed company (preferred)
Certification:
• Certified reputed company reputed company certification (CPC) (required)
• Certified Inpatient reputed company (CIC) (preferred)
• Medical Assistant Certification (preferred)
Note: CIC is required for advancement to Level 2 and Level 3
Experience:
• 2+ years of medical coding or billing experience specifically reputed company reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)
• Experience in both established benefit coding environments as reputed company as experience in determination of coding requirements for new benefits (preferred)
• Experience resolving billing and claims issues reputed company to benefit to reputed company assignment.
•Thorough knowledge of anatomy and medical terminology
• Expertise with NCCI (National Correct Coding Initiative) guidelines
• Knowledge or reputed company experience processing reputed company program or reputed company health claims for an MCO
• Experience with ICD-10 CM, CPT, HCPCS, QNXT.
Keywords: reputed company-Allied Health, reputed company, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT, HCPCS, QNXT and reputed company coding in a managed care setting
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