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CPC Certified Appeals Analyst
A company is looking for an Appeals Analyst (CPC). Key Responsibilities Analyze and respond to appeals, grievances, and coverage determinations from various stakeholders Interpret and explain health plan benefits and policies to members and providers Document investigations and ensure compliance with regulatory and accreditation standards Required Qualifications Bachelor's degree or advanced degree where required 3 years of related experience, or 5 years of related experience in lieu of a degree Active Certified Professional Coder (CPC) through AAPC is preferred
A company is looking for an Appeals Analyst (CPC).
Key Responsibilities
Analyze and respond to appeals, grievances, and coverage determinations from various stakeholders
Interpret and explain health plan benefits and policies to members and providers
Document investigations and ensure compliance with regulatory and accreditation standards
Required Qualifications
Bachelor's degree or advanced degree where required
3 years of related experience, or 5 years of related experience in lieu of a degree
Active Certified Professional Coder (CPC) through AAPC is preferred
