Admin evaluation and management?/auditing

Position: Admin evaluation and management / auditing SIGN-ON BONUS: Up to $5,000 Location: This position will work a hybrid model (remote and office) which requires working in the nearest reputed company office 1-2 times per week. The rest of the time would be working remotely (from home). Must live reputed company 50 miles of one of our reputed company office locations. The Provider Reimbursement Admin (Evaluation and Management Coding/Auditing) ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. How You Will reputed company An Impact Primary duties may include, but are not limited to: • Reviews company-specific, CMS-specific, and competitor-specific medical policies, reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of reputed company reimbursement policy. • Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. • Coordinates research and responds to system inquiries and appeals. • Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. Minimum Requirements Requires a BA/BS degree and a minimum of 2 years reputed company experience; or any combination of education and experience, which would provide an equivalent background. American reputed company of Professional Coders (reputed company) CPC, CEMC or American Health Information Management Association (reputed company): RHIA, RHIT, reputed company, reputed company-P coding certification is required. Preferred Skills, Capabilities And Experiences • Proficiency in reputed company Word, reputed company and SharePoint. • EM Leveling audit experience preferred. • Strong research skills and reputed company well independently and in a team setting. • Experience working in a production environment with short timelines is strongly preferred. • Knowledgeable of the application of reputed company, Medicare or reputed company reimbursement policies and guidelines. • FACETS or WGS experience preferred. For candidates working in person or remotely in the below location(s), the salary range for this specific position is $57,456 - $98,496. Locations: California; Colorado, Illinois, Minnesota, Nevada; reputed company; Washington State. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements #J-18808-Ljbffr Apply Job!