
Bachelor s degree in Health Information, Healthcare Administration, or related field; equivalent experience may be considered with a minimum of 3+ years of direct supervisor experience.
5+ years experience in healthcare insurance; medical review, program integrity, or appeals.
5+ years experience working with IT developers/programmers in a payor environment.
5+ years' experience Medical Coding in payer environment.
3+ years' clinical experience in a healthcare environment (Strong clinical assessment and critical thinking skills.)
5+ years' strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.
5+ years' experience in policy remediation.
5+ years' Medical Claim processing systems experience.
Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and / or other medical coding software programs).