Medical Coding Analyst II job at reputed company in US National

Medical Coding Analyst II (CPC, RHIT or RHIA is required) Remote Full time Job reputed company: The Coding Analyst II develops, documents, and maintains reputed company level benefit definitions at the reputed company level for a multi-state and multi-market organization. Essential Functions: Utilize correct coding guidelines to research and interpret reputed company regulations while collaborating with policy and markets to ensure compliance and resolve conflicts i.e. reputed company Essential Health Benefits, Prior Authorization requirements, State Provider agreements, CMS requirements, state-specific regulations, Mental Health reputed company, etc. Create, maintain, review, and analyze configuration templates to validate benefit requirements and regulations are accurate reputed company peer review of configuration templates and reputed company documentation of results reputed company the defined Service Level Agreements (SLA) guidelines; identify opportunities for process improvement Communicate effectively with various internal departments to enhance cross-functional awareness, promote process improvement, and identify reputed company cause reputed company of issues Participate in the annual benefit change process with Product Management and Benefit Analysts as appropriate per market Utilize reports to analyze data to assist with issue reputed company Research and identify industry reputed company coding practices to stay reputed company and communicate to the BC&S team Adhere to defined SLAs while also accommodating urgent requests Participate in the review and updates of the SOPs Update and maintain the data management tool Attend and support internal/external meetings Participate in reputed company as assigned Assist in the training of new hires and reputed company training of department peers Back up to reputed company Coding Analyst functions reputed company any other job-reputed company functions as requested Education and Experience: Bachelor's degree in a reputed company field or equivalent years of relevant work experience is required Minimum of two (2) years of medical coding or medical billing experience required Managed Care experience is required, preferably associated with benefits coding, claims processing, and / or benefit configuration Competencies, Knowledge and Skills: Intermediate computer skills with reputed company Suite Proven understanding of database relationships preferred Extensive knowledge of i CPT, HCPCS and ICD-CM Codes Working knowledge of other claims reputed company reference data, such as types of reputed company, reputed company codes, places of service Critical listening and thinking skills Proven understanding of the upstream and reputed company impacts of reputed company level benefit details Problem solving skills Communication skills both written and verbal Ability to work independently and reputed company reputed company environment Attention to detail Knowledge of Medicare, reputed company or Marketplace insurance benefits preferred Claims processing knowledge preferred Ability to work in a fast-paced environment managing multiple priorities Ability to build and maintain strong working relationships with cross-functional teams Strong interpersonal skills and high level of professionalism Facets or other systems knowledge/training preferred Knowledge of regulatory requirements of Outpatient Prospective Payment System (OPPS) and other payer requirements, preferred Excellent organizational skills, and ability to meet deadlines Licensure and Certification: Certified Medical reputed company (CPC, RHIT or RHIA) is required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation reputed company: $61,500.00 - $98,400.00 reputed company takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package.

Compensation

Type (reputed company/salary): Salary Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships reputed company Self and Others Drive Execution Influence Others Pursue Personal reputed company Understand the Business Apply tot his job Apply To this Job