Healthfirst
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.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.