
CPC Insurance Policy Analyst
7 days ago
The position of Medical Coder and Insurance Policy Specialist plays a vital role in our organization's success. Key responsibilities include reviewing insurance policies to understand coverage guidelines, collaborating with coding and billing teams to resolve claim denials, and analyzing denial reasons to develop strategies for overturning denials through policy interpretation.
It is essential to stay updated on changes in coding regulations and insurance policies to ensure compliance and maximize reimbursement. Continuous education programs are necessary to enhance coding and auditing skills.
A career in ENM, Pain Management, or Anesthesia will be beneficial. To be successful in this role, you must hold a CPC Certification, possess a degree, and have at least 3 years of relevant experience. Team management experience will be an advantage.
Key Responsibilities:- Review insurance policies to understand coverage and reimbursement guidelines
- Collaborate with coding and billing teams to address claim denials
- Analyze denial reasons to develop strategies for overturning denials through policy interpretation
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