Clinical Program Advisor, CPC Certification Required ( LPN/RN Preferred) Job at Cigna
The reimbursement policy author is part of an innovative team who have overall accountability for reimbursement policy creation, maintenance and project support. This individual will partner with many areas including prepay, business operations, and other matrix partners to assist with the implementation of reimbursement policies.
DUTIES AND RESPONSIBILITIES
Proficiency with industry medical billing/coding and the ability to clearly explain coding logic including the use of modifiers is a must.
The ideal candidate will demonstrate a thorough knowledge of new code descriptions, the impact of code additions, changes or deletions to policies and associated code edits as well as the ability to review and understand data analysis.
This position is responsible for the identification of reimbursement policy opportunity, researching competitive landscape to stay current on trends, creation of a code edit strategy to align with reimbursement policies and will be the reimbursement policy subject matter expert on existing and new reimbursement policy topics.
Support for additional reimbursement policy project work may be assigned as needed
The ideal candidate must be able to clearly communicate and must be collaborative and work effectively and efficiently with other areas.
QUALIFICATIONS
Active CPC (Coding Certification) required with a minimum of one year procedure coding (HCPCS/CPT) experience required
Facility coding certification or billing experience a plus
Healthcare insurance background required
Registered Nurse/LPN preferred
Medicare coding and/or reimbursement background preferred
Proficiency with industry medical billing/coding and the ability to clearly explain coding logic is a must.
Strong attention to detail
Must be proactive and team oriented with ability to foster collaboration; value others perspectives and assist with gaining support and buy-in for organizational proposals
Proven ability to prioritize multiple tasks in a fast-paced environment
Strong communication skills to include written, oral and group presentation.
Strong data analytical and problem solving skills
Proficiency in Microsoft Office applications
Passionate regarding quality of product
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 86,600 - 144,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
DUTIES AND RESPONSIBILITIES
Proficiency with industry medical billing/coding and the ability to clearly explain coding logic including the use of modifiers is a must.
The ideal candidate will demonstrate a thorough knowledge of new code descriptions, the impact of code additions, changes or deletions to policies and associated code edits as well as the ability to review and understand data analysis.
This position is responsible for the identification of reimbursement policy opportunity, researching competitive landscape to stay current on trends, creation of a code edit strategy to align with reimbursement policies and will be the reimbursement policy subject matter expert on existing and new reimbursement policy topics.
Support for additional reimbursement policy project work may be assigned as needed
The ideal candidate must be able to clearly communicate and must be collaborative and work effectively and efficiently with other areas.
QUALIFICATIONS
Active CPC (Coding Certification) required with a minimum of one year procedure coding (HCPCS/CPT) experience required
Facility coding certification or billing experience a plus
Healthcare insurance background required
Registered Nurse/LPN preferred
Medicare coding and/or reimbursement background preferred
Proficiency with industry medical billing/coding and the ability to clearly explain coding logic is a must.
Strong attention to detail
Must be proactive and team oriented with ability to foster collaboration; value others perspectives and assist with gaining support and buy-in for organizational proposals
Proven ability to prioritize multiple tasks in a fast-paced environment
Strong communication skills to include written, oral and group presentation.
Strong data analytical and problem solving skills
Proficiency in Microsoft Office applications
Passionate regarding quality of product
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 86,600 - 144,400 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.