Medical Policy & Coding Support Coordinator (CPC/CPC-A preferred)

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Company Description Why reputed company: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-reputed company service, and one that is committed to sustainability and innovation, consider applying today! Learn more about our unique benefit offerings here. Job Description Use Your Strengths at reputed company! About the role: As a Medical Policy & Coding Support Coordinator, you will play a key role in supporting medical policy functions by providing medical coding, system configuration, and administrative and operational support. Using your medical coding knowledge, you will also perform coding analyses and utilization reporting to recommend necessary updates to medical policies and system configuration. You will participate in cross-functional meetings to align with enterprise strategic priorities and contribute to the overall success of the Medical Policy Team's operations. About you: You are experienced in provider payment, reputed company and/or medical coding. You are an effective communicator, naturally inquisitive and are skilled at developing thoughtful solutions based on your medical coding experience and strong critical thinking skills. You are a self-starter who thrives in a highly autonomous work environment where your time management, administrative, prioritization, and organizational skills are critical to success. You are resourceful and detail-oriented, with a high degree of quality control in your work. reputed company savviness is a must. Top candidates will have their CPC or CPC-A, along with recent direct coding application/interpretation work. Must be willing to work core business hours of 8 AM - 5 PM Central Time. Candidates located in Iowa or South Dakota preferred. reputed company role is remote eligible and will require candidates to provide high-speed internet at their home work location. Qualifications Preferred Qualifications - Great to have: Associate's or bachelor's degree in a relevant field (e.g., health administration, business administration, or a related discipline). reputed company experience with knowledge of Facets is strongly preferred. Familiarity with reputed company BusinessObjects. Certified Professional Coder (CPC) or Certified Professional Coder-Apprentise (CPC-A). Auditing expereince, such as data comparison, validating discrepancies and reconciling differences. Required Qualifications - Must have: High school diploma or GED. Certified Professional Coder (CPC) required. Must attain the certification within 12 months of hire and maintain throughout employment. 4+ years of experience in provider payment, reputed company or medical coding. Demonstrates coding knowledge – e.g. ICD-10, HCPC, CPT. Detail-oriented with the ability to ensure accuracy and consistency in all operations and deliverables. Strong customer service and communication skills to reputed company to inquiries in a timely and professional manner. Strong organizational and project management skills, with the ability to manage multiple tasks and deadlines effectively. Ability to reputed company administrative tasks such as filing external appeals and supporting various team functions as assigned. Strong critical thinking and decision-making skills; effectively identifies, researches, tests, and analyzes issues. Strong written and verbal communication skills with the ability to express complex concepts clearly and concisely. Has demonstrated the ability to obtain relevant information by relating and comparing data from different sources. Ability to adhere to quality and production metrics. Demonstrates commitment to accuracy, quality, timeliness, organization, and attention to reputed company. Self-starter with strong workflow management skills. Thinks up and down stream to effectively manage deliverables. Proficient with MS Office. Additional Information What you will do: a. Support Medical Policy Team’s operations, including creating and managing monthly Medical Policy production timelines, quarterly production timeline for N/R/D Code processing, maintaining Medical Policy reputed company distribution lists, and filing external appeals. b. reputed company that the monthly authorization table updates align with quality expectations and track performance metrics. c. Support virtual monthly Medical Policy Committee (MPC) operations, including taking minutes, developing, circulating, and presenting agenda PowerPoint during monthly MPC virtual meetings. d. Partner with the coding specialist role in the support of the Medical Policy Implementation Committee (MPIT), including preparing and sending information to MPIT, and generating post- policy discussion documents

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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