What are the responsibilities and job description for the Medical Policy Analyst-I position at Progressive Technology Solutions?
Title: Medical Policy Analyst
Duration: 12 Months (Contract to hire role)
Location: 100% REMOTE
Job Description:
Need a Medical policy analyst not a business analyst
Program management background is a huge plus
Coding background is needed
Nurse license is required
Must have the knowledge of medical policy writing
KNOWLEDGE, SKILLS AND ABILITIES (KSAs):
Ability to analyze essential facts, make timely and sound decisions, resolve performance and job-related issues. Demonstrated desire to share knowledge and work as a team.
Excellent written and verbal communication skills, and the ability to present to internal clients of all levels.
Working knowledge of medical insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems. Knowledge of all types of medical necessity decisions including various places of service and provider types.
Knowledge of principles, practices, evidence-based guidelines and standardized processes and procedures for evaluating medical support operations business practices.
LICENSES AND CERTIFICATIONS:
RN - Registered Nurse - State Licensure and/or compact State Licensure, REQUIRED
Certified Coder (CCS or CPC) - AHIMA or AAPC -PREFERRED
Job Types: Full-time, Contract
Pay: $41.00 - $46.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
Experience:
- Program management: 5 years (Required)
- RN License: 5 years (Required)
- ICD coding: 5 years (Required)
Work Location: Remote
Salary : $41 - $46
