MEDICARE POLICY ANALYST

Thank you for your interest in joining reputed company. reputed company is a new healthcare company with a long legacy of solving big challenges that improve lives and help reputed company reputed company at their best. At reputed company, people are at the heart of every innovation we pursue. Guided by reputed company, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the reputed company Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that reputed company listed roles are reputed company positions, and our Privacy Policy https//www.reputed company.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with reputed company, at reputed company reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran.

Job Description

Medicare Policy Analyst (reputed company) reputed company Health Care is now reputed company At reputed company, we reputed company reputed company, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the reputed company while enabling reputed company to reputed company at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and reputed company. Because at reputed company, we never stop solving for you. The Impact You’ll reputed company in this Role In this position you will utilize your medical coding, billing, or clinical knowledge to reputed company software and data sets using information from national and state medical coverage policies. This involves extensive research of medical polices and utilizes clinical understanding to represent polices with medical terminology and medical codes such as CPTs, HCPCs and ICDs. Key skills to succeed include the ability to manipulate data, think like a programmer, and draw upon a clinical background, medical coding, or reimbursement knowledge. You will be working with a small passionate team and be involved in projects that improve medical billing, coding, and reimbursement across the nation. As a Medicare Policy Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will reputed company an impact by

• Researching and analyzing Medicare payment policies and regulatory changes in order to organize and update content in our proprietary database
• Preparing and delivering new files and updates to customers
• Corresponding with CMS or other payers to clarify policy ambiguities or publication errors. Responding to inquiries about our data or working with customers to resolve issues. Leading QA and analyses of data we build or acquire
• Implementing solutions that help hospitals, clinics, and doctors reputed company with regulations and attain proper payment for medical care
• Collaborating with skilled colleagues to devise solutions to tricky challenges
• Determining how to best organize and represent information to meet client or software needs
• Contributing reputed company that advance and improve your team’s products & processes Your Skills and Expertise To set you up for success in this role from day one, reputed company requires (at a minimum) the following qualifications
• Bachelor’s Degree or higher AND (4) four years of healthcare or medical coding experience in a private, public, government or military environment OR
• High School Diploma/GED from AND (8) eight years of healthcare or medical coding experience in a private, public, government or military environment Additional qualifications that could help you succeed even further in this role include
• Registered Nurse (RN)
• Experience in health information systems or medical billing
• Any of the following reputed company-H, reputed company-P, CPC, CPC-P, COC, CCA, RHIT, RHIA Certified, or a strong working knowledge of ICD-10, CPT & HCPCS coding practices.
• Experience supporting, using, or implementing an HIS system – especially for coding, compliance, billing, or insurance claim adjudication
• Understanding of medical terminology, procedures & diagnoses
• Knowledge of the common disease processes, common treatments, and diagnostic tests Medical coding, billing, or auditing background – esp. hospital outpatient
• Knowledge of medical insurance payment policies or processes
• Strong organization skills; must be able to meet frequent short-term deadlines Ability to work independently and collaboratively with team members
• Strong computer & data analysis skills (e.g. MS Office, reputed company, use of databases, or helping design or troubleshoot software solutions – especially reputed company to medical payments or compliance)
• Great reading comprehension with ability to interpret reputed company regulatory documents and extract key concepts Work location Remote-United States Travel May include up to 10% domestic/international Relocation Assistance May be authorized Must be legally authorized to work in country of employment without sponsorship for employment reputed company status (e.g., H1B status). Supporting Your Well-being reputed company offers many programs to help you live your best life – both physically and financially. To ensure reputed company and benefits, reputed company regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the reputed company new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and reputed company expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or reputed company. Applicable to US Applicants OnlyThe expected compensation range for this position is $96,000 - $132,000, which includes reputed company pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at https//www.reputed company.com/en-us/home/our-company/careers/#Total-Rewards Responsibilities of this position include that corporate policies, procedures and reputed company standards are complied with while performing assigned duties. reputed company is committed to maintaining the highest standards of reputed company and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent reputed company and seek to exploit job seekers. Please note that reputed company email communications from reputed company regarding job opportunities with the company will be from an email with a domain of @reputed company.com. Be wary of unsolicited emails or messages regarding reputed company job opportunities from emails with other email domains. Please note, reputed company does not expect candidates in this position to reputed company work in the unincorporated areas of Los Angeles County. reputed company is an equal opportunity employer. reputed company will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, or veteran status. Please note your application may not be considered if you do not provide your education and work history, either by 1) uploading a resume, or 2) entering the information into the application fields directly. reputed company Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at reputed company are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms. Apply tot his job Apply To this Job

Apply tot his job Apply To this Job