Support the Medical Policy Team by applying medical coding knowledge, assisting with system configuration, and providing administrative and operational support.
Key responsibilities include:
- Performing coding analyses and utilization reporting to recommend updates to medical policies and system configurations
- Supporting Medical Policy Committee operations, including meeting coordination, minutes, agendas, and presentations
- Monitoring inboxes and routing internal and external inquiries
- Preparing reports and documentation related to policy changes, implementations, and communications
- Updating system configurations and claim edits to support accurate health policy administration
- Participating in cross-functional meetings and initiatives
- Filing external appeals and supporting related team functions
Requirements & Qualifications
- High school diploma or GED required
- Certified Professional Coder (CPC) required; must obtain within 12 months of hire and maintain certification
- 4+ years of experience in provider payment, claims, or medical coding
- Knowledge of ICD-10, HCPCS, and CPT coding
- Strong customer service, communication, organizational, and project management skills
- Ability to manage multiple tasks, deadlines, and administrative responsibilities
- Strong critical thinking, research, testing, and analysis skills
- Detail-oriented with a focus on accuracy, quality, timeliness, and production metrics
- Proficiency with MS Office
- Preferred: associate's or bachelor's degree in a relevant field
- Preferred: claims experience with Facets
- Preferred: familiarity with SAP BusinessObjects
- Preferred: auditing experience and CPC-A credential
- Must be able to work core business hours of 8 AM to 5 PM Central Time
- Must have high-speed internet at home for remote work
Location
Des Moines, Iowa, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago