Medical Coding Coordinator (CPC or CCS) - Hybrid
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Responsibilities:
· Ensures accurate medical coding related to technology assessments, medical policies, claim payment policies and adhoc coding projects.
· Develops code lists for benefit application, mandate application, and group exception requests working closely with the various areas include Legal department, Sales and Marketing, Product Operations and other key area
· Reviews coding sources to recommend and develop comprehensive listings of appropriate codes in accordance with coding guidelines, national sources and established rules.
· Revises coding within policies in accordance with committee, management, medical director recommendations, or based on revision to policy.
· Serves as a resource to company associates regarding medical coding issues related to departmental documents, projects and inquiries.
Qualifications:
· Bachelor's degree or equivalent work experience.
· Coding Certification (CCS or CPC preferred).
· Minimum of three years work experience in health care or health related position.
· Excellent organizational, verbal and written communication skills as well as the ability to effectively interact with all levels of staff and management.
· Demonstrated experience using medical coding systems, databases, and encoding tools.
· Microsoft Office proficient (Word and Excel).
· Detail oriented with the ability to work with minimal instruction or supervision functioning independently as well as in the team setting.
Hybrid
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At AmeriHealth Administrators, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
AmeriHealth Administrators is one of the largest national third-party administrators providing innovative, value-based health benefits programs and outsourcing services for self-funded health plans and other organizations.
The company also provides customized outsourcing services for TPAs and other payers, student health plans, and fully insured products.
AmeriHealth Administrators serves 1 million plan members in all 50 states and processes over 6 million claims annually.
Equal Employment Opportunity
AmeriHealth Administrators is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Administrators employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Administrators and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Administrators or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.