New York, NY
Mark Vallario
May 1, 2020
The Claims Coding Analyst’s primary responsibilities include maintaining and enhancing our clients claims editing systems to ensure proper claims payments, reviewing, researching, and responding to written and emailed correspondence from providers regarding claim denials based on clinical coding policies, and acting as a subject matter expert and handling more complex provider issues.
They ensure that our clients payment policy is aligned with CMS (Centers for Medicare and Medicaid Services), New York State Department of Health (NYSDOH), and all CPT, HCPCS, and ICD-10 coding guidelines, among others..