Claims Reimbursement Analyst - Work From Home

 Posted an hour ago
     
 $55900 - $123K per year
  
2-5 years experience
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AI Summary

The role is responsible for programming and implementing Enterprise claims auditing logic. It also involves assisting in the implementation, updates, and maintenance of code auditing software.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for programing and implementing Enterprise claims auditing logic under the direction of the Manager Professional Reimbursement Programs. Assists in the implementation, updates, and maintenance of code auditing software.

Required Job Qualifications:

  • Associate degree, OR 2 years’ experience in the health care industry.

  • One of the following HIM certification: RHIT, RHIA, CCS, CCS-P, CPC, CPC-A, CPC-P. (or acquired within 24 months of hire).   

  • Experience working with professional coding structures and claims auditing logic

  • Knowledge of medical practice patterns, professional coding, and payment structures.

  • Clear and concise interpersonal, verbal, and written communication skills.

  • Analytical, research and quantitative skills.


Preferred Job Qualifications:

  • Bachelor degree

  • CPT & ICD-10 Coding

  • PC proficiency to include MS Word, Excel, PowerPoint, Outlook, & Teams

#LI-MC1 #INKT

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

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