Medical Policy & Coding Support Coordinator - Remote

Overview

The Medical Policy & Coding Support Coordinator plays a key role in supporting medical policy functions through coding, system configuration, and operational support, contributing to the success of the Medical Policy Team.

In Short

• Support medical policy functions with coding and administrative tasks.
• Perform coding analyses and utilization reporting.
• Participate in cross-functional meetings.
• Manage monthly production timelines and external appeals.
• Ensure accuracy in medical policy documentation.
• Obtain and maintain CPC certification.
• Strong communication and organizational skills required.
• Remote eligible position with high-speed internet requirement.
• 4+ years of experience in medical coding or claims.
• Detail-oriented with strong critical thinking skills.

Requirements

• High school diploma or GED required.
• CPC certification required within 12 months of hire.
• 4+ years of experience in provider payment or medical coding.
• Detail-oriented with strong organizational skills.
• Strong customer service and communication skills.
• Proficient in MS Office.
• Experience with SAP BusinessObjects preferred.
• Associate's or bachelor's degree in a relevant field preferred.
• Ability to manage multiple tasks and deadlines.
• Self-starter with strong workflow management skills.

Benefits

• Flexible remote work options.
• Comprehensive benefits package.
• Opportunities for professional development.
• Supportive work environment focused on member well-being.
• Commitment to sustainability and innovation.