Senior Managed Care Policy Analyst (remote)

Experian

United States
Base pyy range not specified; variable pyy opportu...
Remote
Current procedural terminology (cpt) coding knowledge
International classification of disease (icd-10) codes expertise
Medicare reimbursement guidelines understanding
Experian is seeking a Senior Managed Care Policy Analyst for a remote position, responsible for managing and analyzing medical coding rules and policies. The ideal candidate will have experience with CPT and ICD-10 coding, as well as a strong understanding of Medicare reimbursement guidelines

Job Summary

  • This role involves managing the accurate representation of medical rules and edits while building tables for new products and technology releases.
  • The position requires independent reviews of medical policies, assigning appropriate diagnosis and procedural codes, and ensuring integrity checks are completed.
  • Experian offers a flexible remote work environment, comprehensive benefits including matching 401K, and recognition as one of the World's Best Workplaces.

Matching Summary

Match Score: 85

Experian is seeking a Senior Managed Care Policy Analyst for a remote position, responsible for managing and analyzing medical coding rules and policies. The ideal candidate will have experience with CPT and ICD-10 coding, as well as a strong understanding of Medicare reimbursement guidelines.

Salary

Base pay range not specified; Variable pay opportunity available; Core benefits include medical, dental, vision, and matching 401K

Skills & Requirements

Must-have

  • Current Procedural Terminology (CPT) Coding knowledge
  • International Classification of Disease (ICD-10) Codes expertise
  • Medicare reimbursement guidelines understanding
  • Medical terminology and anatomy knowledge
  • Clinical Transaction Engine table builds

Nice-to-have

  • Experience with National NCDs review
  • Strong written communication skills
  • Ability to work independently on complex issues
  • Client support and technical issue resolution
  • Data analysis and pattern recognition skills

Key Requirements

  • Associate's or Bachelor's degree in Life Sciences
  • ART certification or CPC certificate required
  • 4+ years experience with CPT and ICD-10 coding
  • Previous Healthcare experience required
  • Knowledge of Medicare reimbursement guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter