- The Cigna Group (Franklin, TN)
- …need to succeed:** + High School Diploma or GED required + 5+ years of healthcare claims lifecycle; configuration design, editing , claims system ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....3+ years of experience with claims adjudication, claims data types and editing rules (ICD,… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator....with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Zelis (TX)
- …years of relevant experience or equivalent combination of education & work within healthcare payers/ claims payment processing + Certified Coder (CCS, CCS-P or ... ESSENTIAL FUNCTIONS + Provide in-depth clinical coding analysis of professional and facility claims routed to the Clinical Coding Policy queue based on new or… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical policies and ... contracts, and an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure medical policy and… more