A consumer product company is seeking a Remote Physician Coding and HIS Nosology Services Analyst. Core Responsibilities Include: Respond to inbound customer support requests for medical coding, editing and grouping problem resolution.
Active, unrestricted physician license. Current board certification in ABMS or AOA specialty. 5+ years of clinical practice experience after completing residency training. 5+ years hands-on experience in utilization and coverage review in a health plan with Commercial membership.
Exceptional client-facing skills. Minimum of 3-5 years of experience working with physician practices. Demonstrated change management expertise. Extensive knowledge of the U. S. healthcare system. Strategic and entrepreneurial outlook with strong collaborations skills.
One to three years’ experience performing medical record coding in an acute care setting. High school graduate or equivalent. AHIMA or AAPC approved credential. Knowledge of MS-DRG classification and reimbursement structures. Proficient at writing AHIMA complaint physician queries.