Research Nurse Chart/Audit OR Medical Policy Coding Coordinator
Immediate need for a talented Research Nurse Chart/Audit OR Medical Policy Coding Coordinator . This is a 04+months contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-78823
Pay Range: $35 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
- Key Responsibilities:
- Ensures accurate medical coding related to technology assessments, medical policies, claim payment policies and adhoc coding projects.
- Develops code lists for benefit application, mandate application, and group exception requests working closely with the various areas include Legal department, Sales and Marketing, Product Operations and other key area
- Reviews coding sources to recommend and develop comprehensive listings of appropriate codes in accordance with coding guidelines, national sources and established rules.
- Revises coding within policies in accordance with committee, management, medical director recommendations, or based on revision to policy.
- Serves as a resource to company associates regarding medical coding issues related to departmental documents, projects and inquiries.
- Key Requirements and Technology Experience:
- Key Skills; CPC, CCS, MS Office
- Bachelor's degree or equivalent work experience.
- Coding Certification (CCS or CPC required).
- Minimum of three years work experience in health care or health related position.
- Excellent organizational, verbal and written communication skills as well as the ability to effectively interact with all levels of staff and management.
- Demonstrated experience using medical coding systems, databases, and encoding tools.
- Microsoft Office proficient (Word and Excel).
- Detail oriented with the ability to work with minimal instruction or supervision functioning independently as well as in the team setting
Our client is a leading Health Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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