Geisinger

Coding and Cost Analyst I - medical claims coding and claim edit review, Geisinger Health Plan (Pennsylvania resident)

Geisinger(1 month ago)

RemoteFull TimeMedior$84,576 - $114,355 (estimated)Claims & Coding
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About this role

A Medical Coding and Claims Reviewer responsible for supporting the health plan's financial and strategic objectives through detailed review of claims documentation and coding. The role ensures adherence to contractual, state, and federal regulations while working with cross-functional teams to inform reimbursement decisions. This is a remote position based in Pennsylvania.

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Required Skills

  • Medical Coding
  • Claims Review
  • CPT
  • CMS Guidelines
  • HIPAA Compliance
  • Critical Thinking
  • Reporting
  • Teamwork
  • Computer Literacy
  • Independent Work

Qualifications

  • High School Diploma
  • GED
  • Graduate Specialty Training (Preferred)
  • CPC (AAPC)
  • CCS (AHIMA)
  • LPN (Preferred)
Geisinger

About Geisinger

geisinger.org

Geisinger is a healthcare organization serving 1.2 million people in communities across central and northeastern PA. Find a provider or location today.

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