The Benefits Coding Analyst maintains the integrity of plan benefits and develops expertise in all plan benefits. They will work closely with multiple teams to ensure benefits are compliant with state and Federal guidelines.
Requirements
- Associate Degree in Healthcare (preferred)
- Certified Professional Coder certification (CPC) (required)
- Certified Inpatient Coder (CIC) (preferred)
- Medical Assistant Certification (preferred)
- 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and/or various payment methodologies (required)
- Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred)
- Thorough knowledge of anatomy and medical terminology
- Expertise with NCCI (National Correct Coding Initiative) guidelines
- Knowledge or direct experience processing Government program or commercial health claims for an MCO
- Experience with ICD-10 CM, CPT, HCPCS, QNXT
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Annual discretionary bonus