Health Services Coding Analyst, CPC Required

🔥 0 minutes ago

🌾 Iowa – Remote

🌾 Iowa – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🧐 Analyst

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Wellmark Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1939

⚕️ Healthcare Insurance

Healthcare Insurance

Wellmark Blue Cross and Blue Shield is a health insurance provider operating primarily in Iowa and South Dakota. The company offers a range of health insurance plans including individual and family plans, Medicare Advantage, Medicare Supplement, and employer group plans. Wellmark emphasizes providing coverage options that meet diverse needs and budgets, and offers resources for managing accounts, payments, and health care access through their online portal, myWellmark. Additionally, Wellmark provides resources for providers, employers, and producers to drive business efficiency and quality in health care services.

📋 Description

• Provide clinical leadership and subject-matter expertise for complex medical policy content • Ensure accurate implementation of medical policies and authorization requirements • Research and analyze system and business issues • Develop high-level requirements, test and implement solutions, and audit outcomes • Mentor and train Coding Specialists and provide policy-related training to operational partners • Maintain the claims processing system infrastructure to ensure compliance • Collaborate with teams to resolve coding-related denials and questions

🎯 Requirements

• Associate degree or direct and applicable work experience preferred • Certified Professional Coder (CPC) required • Clinical background in a health-related discipline (such as nursing, medical assisting, etc.) • 7+ years of related health care experience in provider payment, claims, medical coding, or similar • Expertise in medical coding and terminology • Strong attention to detail with multitasking ability • Proficiency in Microsoft Office applications

🏖️ Benefits

• Employees can work remotely • Flexible work arrangements