Clinical Coding Policy Analyst
Bedminster, NJ
CareNational is looking for an experienced Clinical Coding Policy Analyst! This is a contract-to-hire position and ideal candidates will have at least 2 years of recent experience as a Clinical Coding Policy Analyst.
Pay Details:
- Pay Range: $38.00 - $48.00 / Hour
Work Setting:
Position Details:
- Contract-to-Hire
- Location: Remote, Work-From-Home
Responsibilites:
- Provide in-depth clinical coding analysis of professional and facility claims routed to the Clinical Coding Policy queue based on new or updated edit logic
- Identify and provide root-cause analysis or edit performance issues.
- Maintain current industry knowledge of claim edit references including, but not limited to: AMA, CMS, NCCI.
Requirements:
- 2+ years of relevant experience or equivalent combination of education & work within healthcare payers/claims payment processing
- Certified Coder (CCS, CCS-P, or CPC)
- Ability to interpret claim edit rules and references
- Strong understanding of Clinical Policy interpretation required
- Ability to perform audits of claims processes and apply root-cause
- RN, LPN, or LVN license preferred
If healthcare is your passion, apply today and one of our recruiters will reach out to you immediately
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