Remote Medical Coding Policy Specialist in Madison

Job is Expired

Location: Wisconsin

Compensation: To Be Discussed

Staff Reviewed: Thu, Mar 18, 2021

Job Category: Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

An IT solutions provider is in need of a Remote Medical Coding Policy Specialist in Madison.

Individual must be able to fulfill the following responsibilities:

  • Assist with correct coding for service authorization policy
  • Provide assistance with research for adjudicating member fair hearings and provider appeals
  • Prepare policy statements and recommendations for complex coding changes

Required Skills:

  • Certified Professional Coder (CPC) or medical coding credential through AAPC or AHIMA
  • Knowledge of federal Medicaid statutes and regulations, Wisconsin statutes, and Wisconsin Administrative Code
  • Knowledge of code assignments for reimbursements in the healthcare billing process, including healthcare claims submission, processing, and payment
  • Strong oral and written communication skills
  • Ability to work independently, under general supervision, and to exercise good judgment
  • High school diploma, GED, or equivalent

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