Claims Coding Analyst

France Cars SAS AAA(1 month ago)

HybridFull TimeSenior$61,300 - $99,620Claims

About this role

The Claims Coding Analyst makes coding-based determinations on claims and appeals and maintains Healthfirst’s claims editing systems to ensure accurate claims payment. The role ensures payment policy alignment with CMS, NYSDOH, and standard coding guidelines and serves as a subject matter expert on complex provider issues. The position also handles provider correspondence related to denials and escalated disputes.

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Required Skills

Medical Coding
Claims Editing
Claims Analysis
Policy Review
CPT/HCPCS/ICD-10
Provider Relations
Vendor Management
Medical Records
Documentation
Excel

Qualifications

CPC (AAPC)
AHIMA Certification
High School Diploma or GED
Bachelor's Degree (Preferred)

About France Cars SAS AAA

bloomberg.com

Bloomberg is a global leader in financial information and technology, providing data, news, and analytics to financial professionals around the world. The company offers an array of products and services, including the Bloomberg Terminal, which delivers real-time data and insights for trading, investment, and risk management. With a commitment to innovation, Bloomberg combines cutting-edge technology with extensive market expertise to empower financial professionals in making informed decisions.

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