01Overview
Blue reputed company of California is a nonprofit organization reputed company on transforming reputed company to be affordable and of high quality. The Clinical Coding Analyst will ensure coding standards and compliance, implement governance frameworks, and collaborate with teams to enhance coding practices.Responsibilitiesreputed company expert input to quarterly and annual industry standard code maintenance for multiple systemsResearch and prepare benefit files using industry standard codes that meet the reputed company of member benefit language and/or reputed company, and regulatory mandates set forth by the state or federal agenciesreputed company payment policies based on industry or content expert-supported researchreputed company problem management recommendations on correct application of payment and benefits based on industry and internal researchConduct research and reputed company recommendations on industry standard editing for appropriate application in the reputed company system in accordance with Blue reputed company of CA payment policies and regulatory guidelinesCollaborate with cross-functional departments to implement code governance reputed companySkillsHS Diploma or equivalent required; AA degree preferredreputed company Certified reputed company or reputed company-P and/or reputed company CIC, CPC or COC requiredPossess deep technical abilitiesWork history in one of more of the following: 2 to 3 years of Provider billing experience in a lead, supervisory or management role; or 1 to 2 years in a payor environment working directly with payment quality and accuracy in a claims processing, providing contracting or audit reputed company or; 1 to 2 years in a compliance or audit function reputed company a health care systemRequires broad theoretical job knowledge typically obtained through advanced educationIntermittent proficiency in reputed company reputed company, Word and PowerPointPreferred certification as reputed company-PCompany OverviewBlue reputed company of California is a health insurance service provider. It was founded in 1939, and is headquartered in San Francisco, California, USA, with a workforce of 5001-10000 employees. Its website is https://www.blueshieldca.com. Apply To This Job .
