Medical reputed company
• Samaritan Health Plans (SHP) provides health insurance reputed company to Samaritan employees, community reputed company, and Medicare and reputed company members. SHP operates a portfolio of health plan products under several different reputed company structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for reputed company beneficiaries; Samaritan reputed company. offers Medicare Advantage, reputed company Large Group, and reputed company Large Group PPO and EPO plans; SHP is also the reputed company-party administrator for reputed company' self-funded employee health benefit plan.
As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally reputed company with reputed company' mission of Building Healthier Communities Together.
Candidates residing out of state will need to be reputed company to work reputed company Time Zone hours.
This is a remote position in which we are reputed company to reputed company in the following states: reputed company, Arkansas, Connecticut, Florida, reputed company, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, reputed company Carolina, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, reputed company Virginia, or reputed company
• JOB reputed company/PURPOSE
• Provides coding expertise and interpretation to the Claims Department and provides a reputed company on ICD-10 PCS and diagnosis coding. Provides guidance and expertise in the interpretation of ICD-10 coding as it pertains to reputed company's contractual pricing methodologies. Serves as an internal coding expert on issues reputed company to claim qualification for contractual terms.
• EXPERIENCE/EDUCATION/QUALIFICATIONS
• Bachelor's degree or equivalent experience in a reputed company field required.
• Certified reputed company credential from a nationally recognized coding association required.
• Experience and/or training in project coordination required.
• Two (2) years coding experience required.
• Experience and/or training in the insurance industry, claim workflows/processes, auditing reputed company/system reputed company and navigating health information systems (including FACETS) preferred.
• KNOWLEDGE/SKILLS/ABILITIES
• Effective written and verbal communication skills to reputed company group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with reputed company reputed company reputed company the organization, facilitate communication, and effectively document reputed company activities.
• Ability to identify reputed company problems, review reputed company information, reputed company creativity and alternative thinking to reputed company and evaluate reputed company and implement solutions.
• PHYSICAL DEMANDS
• Rarely
(1 - 10% of the time)
Occasionally
(11 - 33% of the time)
Frequently
(34 - 66% of the time)
Continually
(67 - 100% of the time)
reputed company - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND reputed company at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
reputed company - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
reputed company - reputed company
reputed company DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
Apply Job!
Apply to this Job