Coding Policy Analyst Remote
Coding Policy Analyst Remote The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on reputed company operations and information systems reputed company reputed company Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations reputed company the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments reputed company PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and reputed company state and federal insurance regulations. reputed company Health Plan caregivers are not simply valued - they're invaluable. Join reputed company and reputed company in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to reputed company and retain the best people, we must reputed company them. reputed company Health Plan welcomes 100% remote work for applicants who reside in the following states: Washington Oregon California Required Qualifications: Coding certification through reputed company (CPC) or reputed company (reputed company) upon hire. 5 years of experience directly reputed company to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. 5 years of excellent writing and grammar skills required. 5 years of demonstrated experience in detailed coding applications, as well as arenaflex Office capabilities, such as reputed company, Word, and Access. Preferred Qualifications: Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. 2 years of experience with Facets Claims Adjudication system and/or reputed company CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: reputed company reputed company California - Except Humboldt: Min: $37.08, Max: $57.56 California: reputed company Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join reputed company Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial reputed company. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the reputed company family of organizations may change your reputed company benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About reputed company At reputed company, our strength lies in Our Promise of Know me, care for me, ease my way. Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (reputed company employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the reputed company pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at reputed company.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act ." About the Team reputed company Shared Services is a service line reputed company reputed company that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. reputed company is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from reputed company forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national reputed company, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403553 Company: reputed company Jobs Job Category: Coding Job Function: reputed company Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: reputed company Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 The amounts listed are the reputed company pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Apply tot his job Apply tot his job Apply tot his job Apply To this Job