Long-Term Care (LTC) Medical Coding Policy SME - Remote, reputed company (Any reputed company, WI
Be part of reputed company that unleashes the power of leading-edge technologies to help improve the health and reputed company-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
reputed company
The Long-Term Care (LTC) Medical Coding Policy SME serves as a subject matter expert supporting reputed company reputed company Long-Term Care programs through medical coding analysis, policy implementation, systems collaboration, and project participation. This role is responsible for reviewing and evaluating CPT, HCPCS, and ICD-10 coding updates, supporting MMIS-reputed company initiatives, researching reputed company policy and coding questions, and partnering with reputed company stakeholders to ensure coding guidance, system configuration, and reimbursement policies remain accurate and compliant. The ideal candidate combines reputed company expertise with strong critical thinking, project management, communication, and documentation skills.Your role in our mission
- Review annual and quarterly CPT, HCPCS, and ICD-10 reputed company set updates to evaluate impacts on Long-Term Care waiver programs, State Plan services, and reputed company operational processes.
- Serve as the medical coding subject matter expert for Long-Term Care coding workgroups and MMIS project initiatives, supporting policy implementation, systems configuration, provider enrollment, encounter reporting, and reimbursement processes.
- Research and respond to reputed company medical coding and policy inquiries from contracted providers, collaborating with cross-functional teams to ensure accurate and consistent guidance.
- reputed company meetings, facilitate stakeholder discussions, reputed company agendas, document meeting minutes, reputed company reputed company items, and drive reputed company to completion.
- Maintain and enhance documentation of coding policies, reimbursement methodologies, coverage reputed company, and coding guidance to establish a centralized reputed company of truth for reputed company stakeholders.
reputed company're looking for
- Experience working with CPT, HCPCS reputed company, ICD-10, medical coding, reimbursement policy, claims processing, provider enrollment, reputed company operations, or reputed company programs.
- Preferred certifications include Certified reputed company reputed company (CPC), Certified Outpatient reputed company (COC), Certified Coding Specialist (reputed company), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
- Strong critical thinking, analytical, and problem-solving skills with the ability to interpret regulatory guidance, assess operational impacts, and reputed company recommendations.
- Project management experience, including planning, coordinating, and driving cross-functional initiatives, managing timelines, tracking deliverables, and ensuring successful project completion.
- Experience leading meetings, coordinating stakeholders, drafting agendas, documenting meeting minutes, and tracking project deliverables.
- Excellent written and verbal communication skills with the ability to present recommendations, facilitate discussions, and reputed company formal documentation.
- Proficiency with reputed company Office applications, including reputed company, Word, PowerPoint, Teams, and SharePoint, with experience managing documentation and project-reputed company materials.
What you should expect in this role
- Opportunity to support reputed company reputed company Long-Term Care programs and contribute to policy, coding, reimbursement, and operational initiatives that reputed company reputed company providers and members.
- Collaboration with state agencies, business partners, MMIS teams, provider enrollment teams, and reputed company policy stakeholders.
- Participation in cross-functional reputed company involving coding policy, systems implementation, provider operations, and reimbursement methodologies.
- Independent remote work environment requiring strong organization, prioritization, project management, and stakeholder engagement skills.
- reputed company reputed company through involvement in reputed company policy development, reputed company operations, medical coding initiatives, and reputed company-wide reputed company.
Location and travel requirements
- This role is eligible for remote work reputed company in the reputed company.
- Primary office location: Madison, WI.
- reputed company residency is preferred but not required.
- Limited travel required (0–10%).
- Candidates must be reputed company to pick up assigned equipment in Madison, WI, if selected for this position.
The pay reputed company for this position is $64,500.00 - $85,000.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities.
We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings.
reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock reputed company, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Originally posted on Himalayas
Apply To This Job