Policy Coding & Enforcement Analyst - Remote Job at Proclinical Staffing, Tampa, FL

Wjk5b0dyQmNkdUFTVmdydmdwM2U3Ymgycnc9PQ==
  • Proclinical Staffing
  • Tampa, FL

Job Description

Proclinical is seeking a Policy Coding & Enforcement Analyst to join our team remotely. This position requires clinical expertise and familiarity with laboratory billing practices. Occasional travel (one week per month) is required for staff training and team-building activities.

Primary Responsibilities:

The successful candidate will focus on coding analysis, claim editing, and enforcement rule development within the healthcare and dermatology space.

Skills & Requirements:

  • Clinical experience, particularly in laboratory coding.
  • Certification such as RHIT, CPC, CCS, or similar is preferred.
  • Strong understanding of coding principles and healthcare reimbursement practices.
  • Familiarity with government healthcare programs (e.g., Medicare, Medicaid).
  • Detail-oriented with excellent documentation skills.
  • Ability to work collaboratively in a remote setting.

The Policy Coding & Enforcement Analyst's responsibilities will be:

  • Develop and enforce claim editing rules.
  • Configure, build, and test edits for claims processing.
  • Apply clinical knowledge of ICD-10, CPT, and HCPCS coding principles.
  • Ensure accurate documentation and maintain high attention to detail.
  • Support laboratory billing and reimbursement processes.
  • Collaborate with teams to ensure compliance with government programs such as Medicare and Medicaid.
  • Participate in monthly travel for training and team-building purposes.

Compensation:

  • $65 000.00 - $75 000.00 Per Annum

If you are having difficulty in applying or if you have any questions, please contact George Watson at g.watson@proclinical.com

If you are interested in applying to this exciting opportunity, then please click 'Apply' or to speak to one of our specialists please request a call back at the top of this page.

Proclinical is a leading life sciences recruiter focused on finding exceptional people and matching them with the finest positions across the globe. Proclinical is acting as an Employment Agency in relation to this vacancy.

By submitting this application, you confirm that you've read and understood our privacy policy, which informs you how we process and safeguard your data -

Job Tags

Permanent employment, Remote work,

Similar Jobs

MGA Homecare

Homecare Nurse - Weekend Night Incentive Job at MGA Homecare

 ...Join Us in Making a Difference! Are you a dedicated Nurse with a passion for supporting student health and academic success? Do you have experience caring...  ...required). Previous pediatric, school health, or public health experience preferred. Strong organizational... 

Dealers Auto Auction of the Southwest

Automotive - Accounting Clerk/Bookkeeper Position Job at Dealers Auto Auction of the Southwest

 ...to the customers where required. ~ Entering invoices into Peachtree/Sage for our vendor payouts. ~ Once completed, send it to bookkeeper for check printing. ~ Scan and save all invoices to shared drive to ensure accurate and timely management of paperwork. ~... 

BECA Staffing Solutions LLC

Pulmonary/Critical Care Physician Job at BECA Staffing Solutions LLC

 ...Searching for a BE/BC Pulmonary/Critical Care physician to join an established, hospital-employed practice one hour west of Asheville. This very busy pulmonary/ critical care practice and has a current wait of 2+ months for new patients. They are seeking a physician... 

Anatomage, Inc.

Dental Lab Production Technician - CA Job at Anatomage, Inc.

 ...Dental Lab Production Technician About Osteoid Inc. Osteoid is creating the next generation of seamless and connected 3D dental imaging software and solutions that help accelerate the path to digital dentistry. Proven in over ten years of use by thousands of labs... 

ProPivotal Staffing

Real Estate - Director of Finance $250,000 Job at ProPivotal Staffing

 ...Real Estate Director of Finance $250,000 We are looking for adirector that will be...  ...reporting oversight forcorporate entities, private equity investments, direct real estate...  ...and systems fornew properties/funds Manage involvement in main real estate fundsand...