Coding Analyst

Work collaboratively with various cross-functional departments to determine appropriateness of pricing. Work collaboratively with Medical Management Department to resolve any issues with medical review notes that affect high dollar claim pricing. Responsible for entire cycle of high dollar claims which includes verifying information on submitted claims, reviewing contracts, compliance guidelines, state regulations, eligibility, and authorizations to determine reimbursement, and releasing claim for payment. Identify key elements and processing requirements based on diagnosis, provider, contracts and policies and procedures utilizing broad based product or system knowledge to ensure timely payments are generated. Conduct point of service review and resolution of high dollar claims that are pending and/or adjusted incorrectly including review, investigation, adjustment and resolution of claims, claims appeals, inquiries, and inaccuracies in payment of claims.

According to JobzMall, the average salary range for a Coding Analyst in 5130 Sunforest Dr, Tampa, FL 33634, USA is between $48,521 and $76,150. The salary range may vary depending on the company, experience, and other factors.

Centene Corporation is a large publicly traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs.