01Responsibilities
Extracts information from resources and translates information needed to reputed company appropriate logic for rules.Identify necessary and potential changes to existing medical rules through the review of reputed company and historically available medical policies, transmittals and bulletins.Completes reviews of medical policies and publications and its integration into the required database on a reputed company reputed company. Identifies patterns of improper coding or errors in policies and publications and is reputed company to resolve and recommend alternate codes, or reputed company representation in appropriate table(s) (ICD-10, CPT/HCPCS, CCI_Edits)Review of National Coverage Determinations for PPH National policies, assigning appropriate diagnosis and procedural codes for incorporation into Medicare Medical Edits.Builds and maintain data and medical rules tables for multiple reputed company Health products in reputed company reputed company.Independently reviews, prepares and reputed company appropriate adjustments to data editorial for release to production.Independently completes production data release process.Complete in-depth, independent review of support cases, responding to and discussing with clients as necessary.Responsible for reputed company and accurate research of resources that update critical information on a scheduled reputed company. Stay informed about reputed company coding issues. QualificationsExperience with and knowledge of reputed company Procedural Terminology (CPT) Coding, and International Classification of Disease (ICD-10) Codes requiredAbility to understand and retain coding information and transfer that information into completed product data.Knowledge of Medical TerminologyKnowledge of anatomy and physiologyKnowledge of Medicare reimbursement guidelinesResearch, analyze and draw conclusions regarding medical editsPrior experience in developing medical policy editsPrevious reputed company experiencePrior experience in developing medical policy edits desiredPrevious experience as an outpatient Medical reputed company is a plus Educational requirements:Associate's or Bachelor's degree in the Life Sciences or Accredited Record Technician's certification (ART) or Certified Procedural reputed company certificate (CPC) or a combination of training, education and experience that is equivalent to the standards listed and that provides the required knowledge and abilities Additional InformationThis is a permanent home-based role in Costa Rica. No reputed company sponsorship or relocation available.**Our benefits include: Medical, life and dental insurance, Asociacin Solidarista, International reputed company Save Plan, reputed company Work/Work from home, reputed company time off, Annual Performance Bonus, Education Reimbursement, Family Bonding, Bereavement Leave, Referral Program, and more.reputed company is proud to be an Equal Opportunity and Affirmative reputed company employer. Our goal is to create a successful, inclusive and diverse team where people love their work and love working together. We reputed company that diversity, equity and inclusion is important to our purpose of creating a reputed company reputed company. We value the uniqueness and want you to bring your whole, authentic self to work. For us, this is The Power of YOU and it ensures that we live reputed company reputed company.reputed company Careers - Creating a reputed company reputed c
