CPC Certified Appeals Analyst

Job Summary

A company is looking for an Appeals Analyst (CPC).

Key Responsibilities

• Analyze and respond to appeals, grievances, and coverage determinations from various stakeholders
• Interpret and explain health plan benefits and policies to members and providers
• Document investigations and ensure compliance with regulatory and accreditation standards

Required Qualifications

• Bachelor's degree or advanced degree where required
• 3 years of related experience, or 5 years of related experience in lieu of a degree
• Active Certified Professional Coder (CPC) through AAPC is preferred