Excellus BCBS

Excellus BCBS

Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification

Rochester, New York, United States of America · Mid

Sponsorship not specifiedDetected 64 days ago
ComplianceProject ManagementAuditingRecruitingICD-10LeadershipProblem SolvingMentoringClaims Management

About the role

  • Essential Accountabilities: Level I · Analyzes and audits acute inpatient claims.
  • Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.

Responsibilities

  • Together we can create a better I.D.E.A for our communities.

Requirements

  • as well as keeps abreast of latest trends related to business analysis. · Intermediate knowledge of PC, software, auditing tools and claims processing systems.
  • Draws on advanced ICD-10 coding expertise.

Compensation

  • Level I: Grade E4: Minimum: $65,346- Maximum: $117,622 Level II: Grade E5: Minimum: $71,880 - Maximum: $129,384 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position.
  • Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity.
  • The posted salary range reflects just one component of our total rewards package.
  • Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team.
  • This decision is made on a case-by-case basis.
  • One I.D.E.A. One you.
  • $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position.

Benefits

  • The posted salary range reflects just one component of our total rewards package.
  • Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.
  • We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A Mindset (Inclusion, Diversity, Equity & Access).

Company info

  • At Excellus BCBS, we're on a mission to make our communities healthier and we can't do it without you.

Equal opportunity

  • Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity.
  • Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team.
  • This decision is made on a case-by-case basis.
  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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This listing is sourced directly from Excellus BCBS's careers page and normalized into a canonical job model.