Health Services, Certified Professional Coder (CPC)

Role Overview

• Coordinate the identification of potential claim editing & clinical program enhancements for Medicare compliance
• Collaborate and partner with functional leads and other business areas
• Provide support and management of savings opportunities and provider/customer deviation implementation

Requirements

• Certified Professional Coder (CPC)
• 3+ years processing and/or researching claims for appropriate claim editing
• 3+ years experience in successfully meeting project deliverables
• 5+ years in Managed Care/Healthcare experience
• Compliance Program Guidelines including CMS Medicare NCD/LCD
• Medicare Rules and Regulations experience
• Proficiency in ClaimsXten
• High school Diploma Required
• Bachelors Preferred

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs