Job Summary

A company specializing in payment accuracy is in need of a Telecommute Client Policy Manager.

Must be able to:

• Review all documents and coordinates reviews with the medical directors
• Conduct research and analysis for medical policy items
• Review clients payment policies for accuracy

Qualifications Include:

• Travel requirement up to 25%
• Bachelor’s Degree (or higher) preferred (or equivalent experience)
• Professional coder certification
• Experience in claim payment adjudication or medical payment policy
• Experience in CPT-4, ICD-10-CM and HCPCS coding
• Experience in claims adjudication or utilization review