State Licensed Coding Analyst
virtual vocationsDenver, CO
State Licensed Coding Analyst
L5
virtual vocationsDenver, COtoday
Occupations
Health Information Technologists and Medical RegistrarsHealth Informatics SpecialistsMedical Records SpecialistsIndustries
All Other Insurance Related ActivitiesOffices of All Other Miscellaneous Health PractitionersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsSeeking a skilled IBR Policy and Content Development Analyst, this remote position will focus on developing and enhancing clinical and coding solutions, serving as the primary subject matter expert for payment integrity policies while collaborating with cross-functional teams.
Key responsibilities:
Review and update audit concepts based on regulatory changes and client needs, including data analysis and documentation updates
Conduct research to assess the impact of policy changes on audit concepts and document findings
Collaborate with teams to develop clinical solutions and ensure compliance with coding standards and payer policies
Required qualifications:
3+ years of experience in payment integrity or auditing facility claims
At least one coding certification (RHIA, RHIT, CCS, CPC, CPMA) or an active RN/LPN license
Deep understanding of Medicare and Commercial coding rules and payment systems
Proficiency in Microsoft Office Suite, including Excel and SharePoint
Experience utilizing AI tools and automation platforms for clinical research optimization
Apply now (opens in a new tab)
Level
SeniorL5
Location
Denver, CO
Occupation
Health Information Technologists and Medical Registrars
Industry
All Other Insurance Related Activities
Posted
today
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