Remote Coding & Cost Analyst – Healthcare Reimbursement

Geisinger; Danville (PA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Healthcare benefits

Work from home

Onsite meetings as needed

Job summary

Geisinger is seeking a certified professional coder to ensure accurate coding and reimbursement for complex billed services. The role involves reviewing claims, authorizations, and medical records, and guiding compliance with CPT, CMS, and contract requirements.

Minimum 3 years of clinical coding experience is required, with CPC/CCS certifications preferred. The position offers a remote work setup with occasional onsite meetings and competitive healthcare benefits.

Qualifications

• CPC-Certified Professional Coder with AHIMA/CCS considered a plus.

Responsibilities

• Review billed services, authorizations, plan benefits, and medical records for coding accuracy.
• Support claims review, edits, appeals, and grievance processes.
• Validate payments against contracts and CMS guidelines.
• Create reports to track department performance.
• Assist with onboarding and team knowledge sharing.

Skills

Medical coding

CPC

CCS

HIPAA compliance

Education

CPC certification

AHIMA/CCS certification

Job description

Geisinger is seeking a certified professional coder to ensure accurate coding and reimbursement for complex billed services. The role involves reviewing claims, authorizations, and medical records, and guiding compliance with CPT, CMS, and contract requirements.

Minimum 3 years of clinical coding experience is required, with CPC/CCS certifications preferred. The position offers a remote work setup with occasional onsite meetings and competitive healthcare benefits.