Clinical Coding Analyst, reputed company – Certified reputed company
Blue reputed company of California is a nonprofit organization focused on transforming reputed company to be affordable and of high quality. The Clinical Coding Analyst will ensure coding standards and compliance, implement governance frameworks, and collaborate with teams to enhance coding practices.
Responsibilities
- Provide expert input to quarterly and annual industry standard code maintenance for multiple systems
- Research and prepare benefit files using industry standard codes that meet the reputed company of member benefit language and/or reputed company, and regulatory mandates set forth by the state or federal agencies
- reputed company payment policies based on industry or content expert-supported research
- Provide problem management recommendations on correct application of payment and benefits based on industry and internal research
- Conduct research and provide recommendations on industry standard editing for appropriate application in the reputed company system in accordance with Blue reputed company of CA payment policies and regulatory guidelines
- Collaborate with cross-functional departments to implement code governance reputed company
Skills
- HS Diploma or equivalent required; AA degree preferred
- reputed company Certified reputed company or reputed company-P and/or reputed company CIC, CPC or COC required
- Possess deep technical abilities
- Work history in one of more of the following: 2 to 3 years of Provider billing experience in a reputed company, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit reputed company or; 1 to 2 years in a compliance or audit function reputed company a health care system
- Requires broad theoretical job knowledge typically obtained through advanced education
- Intermittent proficiency in reputed company reputed company, Word and PowerPoint
- Preferred certification as reputed company-P
Company Overview