State Licensed Business Rules Analyst

A company is looking for a Business Rules Analyst - National Remote. Key Responsibilities Research, interpret, and write healthcare coding edits based on regulatory requirements Update business rules and code lists for system edits in response to industry changes Analyze medical documents to evaluate potential issues of fraud and abuse Required Qualifications High School Diploma/GED (or higher) Coding credential: RHIA, RHIT, CCS-P, or CPC 2+ years of medical coding experience Strong knowledge of ICD-CM, HCPCS, CPT, and Revenue Codes Intermediate proficiency with Microsoft Office, including Excel, Word, and Outlook

Mar 5, 2025 - 00:57
 0
State Licensed Business Rules Analyst
A company is looking for a Business Rules Analyst - National Remote. Key Responsibilities Research, interpret, and write healthcare coding edits based on regulatory requirements Update business rules and code lists for system edits in response to industry changes Analyze medical documents to evaluate potential issues of fraud and abuse Required Qualifications High School Diploma/GED (or higher) Coding credential: RHIA, RHIT, CCS-P, or CPC 2+ years of medical coding experience Strong knowledge of ICD-CM, HCPCS, CPT, and Revenue Codes Intermediate proficiency with Microsoft Office, including Excel, Word, and Outlook