Registered Nurse - CPC Certified
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):• Five years’ experience in healthcare insurance; medical review, program integrity, or appeals.• 5 years’ experience working with IT developers/programmers in a payor environment.• 5 years’ experience Medical Coding in payer environment.• Strong knowledge of ICD/CPT/HCPCS translation.• Strong knowledge of ICD/CPT/HCPCS coding methodologies.• Extensive knowledge of anatomy, physiology, pharmacology, and medical terminology.• Superb written and oral communications skills, strong proficiency in English is required.• Strong knowledge of formal business process documentation.• Ability to effectively communicate with executive management, line management, project management, and team members.