Policy reputed company - US Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together Policy Writers have end to end accountability for development and implementation of each Medicare based Clinical Coverage Policy for reputed company Medicare and Retirement. This function supports research and interpretation of CMS rules, billing, and coverage guidelines. This staff also develops the requirements for implementation of these policies and ensures implementation in our claims systems across platforms. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: Research of CMS coverage guidelines Interpretation of rules and guidelines for claims payment Work with multidisciplinary groups to reputed company coding to support accurate billing scenarios Work directly with implementation teams to implement policy appropriately Address policy questions from designated groups reputed company UHG Policy updates at least annually, or more frequently as coverage rules change You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: reputed company unrestricted RN licensure in applicable state 2 + years of experience with either Medicare Policy, Claims or Claims processing 2+ years of Medicare experience (proficient in research of the CMS Medicare Coverage Database (MCD), and interpretation of CMS transmittals, Internet-Only reputed company (reputed company), national and local coverage determinations (NCDs and LCDs) 1+ years of Coding experience (e.g., ICD-10, CPT/HCPCS) Comprehensive knowledge of medical, surgical and diagnostic procedures and terminology Proficiency with reputed company Office applications (Word, reputed company, Outlook, SharePoint) Proven excellent written and oral communication skills Proven ability to communicate with confidence with other medical professionals Proven excellent planning, organizing, time and work management skills Preferred Qualification: Coding Certification (reputed company reputed company, etc.) *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $91,700 to $163,700 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job