Remote Senior Medical Policy Analyst - Coding & Reimbursement
$81.07k - $129.71kBlue Cross and Blue Shield of North Carolina
- Remote job
Blue Cross and Blue Shield of North Carolina is seeking a Senior Medical Policy Analyst in Durham, NC, for a remote-flex position. This role involves developing and managing medical and dental policies and ensuring compliance with regulations. Candidates should have at least 3 years of experience in the field and must hold relevant certifications. The position offers a competitive salary range of $81,068 - $129,708, along with an annual incentive bonus, and robust health benefits. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
$57.11k - $98.99k
...Senior Managed Care Policy Analyst (Remote) Full-time Employee Status: Regular Role Type:... ...potential changes to existing medical rules through review of... .... Assign CPT/HCPCS codes for PreCertification product... .... Knowledge of Medicare reimbursement guidelines. Knowledge of...Remote workReimbursementSeniorMedicalFull timeFor contractorsWork at officeLocal areaFlexible hoursShift workDay shift$81.07k - $129.71k
Senior Medical Policy Analyst page is loaded## Senior Medical Policy Analystlocations: Remote Flex - North Carolinatime type: Full timeposted on:... ...Develops medical/dental and reimbursement policies for coverage... ...dental procedures and clinical codes. Initiates the process for...Remote workReimbursementSeniorMedicalLocal areaFlexible hours$76k - $100k
...and change lives! Sr. Payer Policy Analyst - REMOTE Responsibilities Works... ...a liaison between LabCorp Medical Directors and Government and... ...proposed policy changes impacting reimbursement. Assist the Manager with... ...cycle (prior authorization, coding, claims, denials, appeals,...Remote workReimbursementSeniorMedicalMinimum wagePart timeFor contractorsWork experience placementCasual workReliefMonday to FridayFlexible hoursShift work- ...Experian is seeking a Senior Managed Care Policy Analyst (Remote) to manage and review medical policies. The ideal candidate should have extensive experience with CPT and ICD-10 coding and the ability to analyze data and recommend coding adjustments. Responsibilities...Remote workSeniorMedicalFlexible hours
$96k - $132k
## MEDICARE POLICY ANALYSTApplyremote type: Remotelocations: Remote-United States: Remote - New Jersey... ...:****Medicare Policy Analyst (Solventum)****3M... ...you will utilize your medical coding, billing, or clinical... ...background, medical coding, or reimbursement knowledge. You will be...Remote workReimbursementMedicalTemporary workH1bRelocation packageFlexible hours- ...healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires... ..., regulatory compliance, and reimbursement processes for both inpatient and outpatient...Remote workReimbursementSeniorMedicalFull time
$35.46 - $51.46 per hour
.... Specialty Physician Coder for Interventional Radiology. This full-time position involves reviewing and coding medical procedures for compliance and reimbursement. The ideal candidate must have 5 years of coding experience, strong analytical skills, and proficiency in...Remote workReimbursementSeniorMedicalFull time- ...Clinical Coder to ensure accurate clinical documentation and coding compliance. The ideal candidate will have over 5 years of inpatient... ...and must be proficient in coding guidelines and Medicare reimbursement methodologies. Key responsibilities include reviewing documentation...Remote jobReimbursementSeniorMedical
- ...seeking experienced Senior Clinical Coders to... .... This is a remote contract-to-hire opportunity... ...professional fee coding role. Ideal... ...DRG validation and reimbursement review • Retrospective... ...supporting medical directors or quality... ...guidelines, medical policy, and reimbursement...Remote workReimbursementSeniorMedicalContract workImmediate start
$150k - $185k
...Overview Position: Senior Policy Advisor Reports to: Director of State Policy Location: Remote, with ~15%-20% travel The Challenge... ...health insurance (medical – platinum PPO, dental, vision... ...dependents Generous health reimbursement account (HRA) that is 100%...Remote workReimbursementSeniorMedicalTemporary workSummer workWork at officeFlexible hours- Crains Cleveland is seeking a Senior Inpatient Facility Certified Medical Coder to join their team. This remote position involves coding for inpatient services, ensuring adherence to... ...medical plans, PTO, and education reimbursement. A sign-on bonus is available for external...Remote jobReimbursementSeniorMedicalRelocation packageFlexible hours
$28.41 - $40.35 per hour
...Senior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours... ..., and organizational policies. The Senior OP Surgery Coder... ...the purpose of appropriate reimbursement, research and compliance... ...with consultation from the medical and clinical staff, and clinical...Remote workReimbursementSeniorMedical- ...Overview Senior HB Coder - Remote at LCMC Health Position details: Remote coding role focusing on ICD-10-CM/PCS... ...knowledge of coding and reimbursement guidelines and... ...regulations, ethics, and policies. Must-Haves /... ...Strong knowledge of medical terminology, anatomy...Remote workReimbursementSeniorMedicalWork experience placementShift work
$30.26 - $42.37 per hour
...Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week... ..., accurately codes hospital inpatient accounts... ...of appropriate reimbursement, research, statistics... ...consultation from the medical and clinical staff,... ...and objectives and policies. Performs other duties...Remote workReimbursementSeniorMedicalHourly payFull timeMonday to Friday- Mount Sinai Medical Center of Florida, Inc. is looking for a Certified Risk Adjustment Coder Senior in Miami Beach, FL. This full-time role... ...involves ensuring accurate coding and documentation, reviewing... ...professionals to optimize reimbursement accuracy. Applicants...Remote jobReimbursementSeniorMedicalFull time
- ...is seeking a Clinical Policy Analyst in Specialty Pharmacy... ...coverage and reimbursement of specialty therapeutics... ...for specialty pharmacy medical and reimbursement policies... .... pharmacy benefits, coding complexities, site of... ...supports working remotely and is flexible in terms...Remote workReimbursementMedicalFlexible hoursShift work
- ...The Senior Clinical Data Research Engineer will be... ...individual contributor in the Medical Affairs department.... ...design. This is a remote role. Responsibilities... ...outcomes and hospital reimbursement. Collaborate with cross... ...ideal. Proficiency in coding for data analysis...Remote workReimbursementSeniorMedical
- ...Qualifications: Knowledge of coding guidelines, anatomy... ...and microbiology, medical terminology and medical... ...accuracy and optimal reimbursement from all third-party payers... .... WORK SCHEDULE: Remote, full-time position, 4... ...protected by institutional policy or by federal, state...Remote workReimbursementSeniorMedicalFull timeFor contractorsApprenticeshipWork at officeLocal area
- ...The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International... ...(MS‑DRG) for optimal reimbursement. The Hospital Inpatient... ...with Centra’s coding policies. The Hospital Inpatient... ...patient related information. Remote home office skills...Remote workReimbursementSeniorMedicalHourly payFull timeWork at officeHome office
- ...Senior Principal Real-World Analyst (RWA) Jazz Pharmaceuticals is a global biopharma... ...claims, electronic medical records (EMR), and registry... ...of analytical programming codes and operational definitions... ...system (e.g. payers and reimbursement models) Experience conducting...Remote workReimbursementSeniorMedicalFlexible hours
$85k - $200k
...experience and knowledge related in coding, revenue cycle and clinical... ...information in a patient's medical record according to specific... ...ICD-10 CM, third party reimbursement policies, regulations and... ...skills, ability to work in a remote environment, and time management...Remote workReimbursementSeniorMedical- ...This role is a remote US based position. The ideal... ...PURPOSE OF JOB The Senior Coding Specialist is responsible... ..., units from the medical record documentation.... ...compliance, documentation and reimbursement for assigned clients... ...Areas Organizational policies and procedures....Remote workReimbursementSeniorMedicalWork at officeLocal area
$105.7k - $234.5k
...USA Onsite or Remote Fixed Hybrid... ...is seeking a Senior Manager of Managed... ...Medi-Cal, hospital, medical group, and ambulatory... ...utilization, and reimbursement methodologies... ...opportunities, assess policy and rate changes,... ...HFMA CRCR, CPHQ, or coding credentials...Remote workReimbursementSeniorMedicalContract workMonday to Friday$268k - $305k
...model that can simplify code, make applications... ...from you! Summary As a Senior Engineering Manager on... ...Premiums Coverage for Medical, Dental, and Vision AD... ...issued in partnership with Remote.com. Additionally,... ...cost to you) $74 / Month Reimbursement for Internet Calm App...Remote workReimbursementSeniorMedicalWork from homeHome office$23.89 - $42.69 per hour
...Senior Medical Coder Optum is a global organization that... ...concurrent review of FFS coding rules, ensuring all... ...and billed for maximum reimbursement and minimal denials.... ...AM- 5 PM Location: Remote - Nationwide You will... ...Group's Telecommuter Policy. Pay is based on several...Remote workReimbursementSeniorMedicalHourly payMinimum wageFull timeWork experience placementLocal areaMonday to Friday$137.7k - $178.5k
...Position Overview The Senior Manager, Patient Access –... ..., this can be a US-based remote or hybrid role (2-3 days/... ...Identify emerging trends in reimbursement, distribution, and access... ...~ Knowledge of billing/coding, insurance plan types, medical/pharmacy benefits, and...Remote workReimbursementSeniorMedicalTemporary workWork at officeFlexible hours2 days per week3 days per week$28 - $35 per hour
Senior Auditing Consultant Remote role. Compensation: $28-35/hr Contract Duration:... ...this role, you will perform coding audits for interventional... ..., and healthcare reimbursement systems (MS-DRG, APR-DRG,... ...childbirth, lactation and related medical conditions), gender...Remote workReimbursementSeniorMedicalContract workWork at officeLocal areaImmediate startFlexible hours- ...Location Remote Employment Type Full time Location... ...know the importance of code quality, team cohesion... ...the role We're hiring a Senior Product Designer to... ...Comprehensive insurance (medical/dental/vision/life/... ...remote environment Lunch reimbursement for all employees...Remote workReimbursementSeniorMedicalFull timeWork at officeLocal areaWork from homeFlexible hours
$129k - $190k
...The Senior Manager, Reimbursement position is responsible for securing new coding, positive medical coverage, and adequate payment within the US by engaging with government payors... ..., and for monitoring and shaping health policy to support innovative products and market...Remote workReimbursementSeniorMedicalLocal areaImmediate startFlexible hours- ...in Dublin, Ohio for a Senior .NET Software Engineer... ...onsite Dublin OH) Remote (2 days) Client... ...high-quality, performant code that adheres to... ...Off Comprehensive Medical, Vision and Dental... ...Insurance Tuition Reimbursement Wellness Program...Remote workReimbursementSeniorMedicalFlexible hours
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