Job Description

Judge Healthcare is seeking a Healthcare Coding Analyst for an opening with one of our top clients in the Minnesota area.

Position Details:

Title: Healthcare Coding Analyst / Certified Medical Coder

Location: Remote - Minnesota

Type of Engagement: Contract, 6+ months

Specific Duties:

• Conduct in-depth research and analysis of appeals data and processes to identify trends and emerging issues, and recommend best practices for maximum performance.
• Provide recommendations to leadership to modify reimbursement policies aligning with changing trends, emerging technologies, and other regulatory developed programs related to healthcare reform.
• Lead communication of changes in company coding and reimbursement policies to all lines of business, internal business teams and contracted providers
• Serve on external committees representing the company's position on Medical Coding requirements.
• Bring information learned through those committees back to the company's project teams and identify crucial issues impacting those teams.
• Serve as a subject matter expert to other divisions/departments (Health Services, Service, Claims) for coding policy and coding/payment issues.
• Directs and coordinates activities of designated coding projects through the project life cycle including the needs assessment, project initiation, design, development and implementation.
• Research and communicate/implement resolutions related to coding appeals assuring that federally and state mandated coding rules are followed.

Requirements/Qualifications:

• Certified in at least 2 of the following certifications: CPC, CPC-H or CPC-P.
• 5+ years of Inpatient/DRG coding experience as well as a clinical background in nursing
  
• Registered Nurse
• Must maintain active certification through full duration of assignment)
• Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
  

Work hours : Business Hours

Please send your updated resume and the job number to Sophia Kranias at [email protected] for immediate consideration.

Thank you for your time and I look forward to hearing from and working with you.

Regards,

Sophia Kranias

Healthcare Recruiter

The Judge Group

610-784-8213

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