Supporting the accuracy of healthcare claims processes, the full-time remote Health Admin Services Senior Analyst will analyze complex claims issues, review coding and auditing practices, and collaborate with internal teams and customers to identify solutions. Key responsibilities Analyze complex healthcare claims and recommend appropriate resolutions Review claims edits and audit groupings for accuracy in alignment with policies Research medical and reimbursement policies to assess their impact on claims processing Required qualifications Minimum of 1 year of experience researching or interpreting medical or claims-processing policies Certified Professional Coder (CPC) certification Experience with healthcare claims data or claims-processing systems Bachelor's degree or equivalent relevant experience Understanding of healthcare reimbursement methodologies and claims adjudication processes
Certified Professional Coder Analyst in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.