Solventum is a new healthcare company focused on creating innovative solutions that improve healthcare delivery and patient outcomes. The Medicare Policy Analyst role involves utilizing medical coding, billing, and clinical knowledge to develop software and data sets based on national and state medical coverage policies. The position requires extensive research and analysis of medical policies, using clinical understanding to represent policies with medical terminologies and codes such as CPT, HCPCS, and ICD.
Key responsibilities include researching Medicare payment policies and regulatory changes, updating content databases, delivering files and updates to customers, corresponding with CMS or payers to clarify policies, leading quality assurance and data analysis projects, implementing compliance solutions for healthcare providers, collaborating with colleagues on problem-solving, and organizing information to meet client or software needs.
The role offers an opportunity to impact medical billing, coding, and reimbursement nationwide, working remotely in the United States with occasional travel.
Qualifications include a Bachelor's degree plus 4 years healthcare or medical coding experience or a High School diploma/GED plus 8 years healthcare or medical coding experience. Preferred qualifications include nursing (RN) license, health information systems or medical billing experience, certifications such as CCS-H, CPC, RHIT, RHIA, or strong working knowledge of ICD-10, CPT, HCPCS coding practices, and familiarity with HIS systems and medical compliance processes.
Strong skills in organization, data analysis (MS Office, Excel, database use), regulatory comprehension, and independent collaboration are required.
The offered salary range is $96,000 - $132,000 per year. Benefits include medical, dental, vision, health savings accounts, disability, life insurance, paid absences, retirement benefits, and more.
This position is fully remote within the US, with possible travel up to 10%. Relocation assistance may be authorized for onboarding.
- Bachelor's Degree plus 4 years healthcare or medical coding experience OR High School Diploma/GED plus 8 years experience
- Registered Nurse (RN) license preferred
- Experience in health information systems or medical billing
- Certifications such as CCS-H, CCS-P, CPC, CPC-P, COC, CCA, RHIT, RHIA or strong knowledge of ICD-10, CPT & HCPCS coding
- Experience with HIS systems especially in coding, compliance, billing, or claim adjudication
- Understanding of medical terminology, procedures, diagnoses, and coding/billing processes, especially hospital outpatient
- Knowledge of medical insurance payment policies
- Strong organizational, reading comprehension, and computer/data analysis skills
- Ability to interpret complex regulatory documents and extract key concepts
- Must be legally authorized to work in the US without visa sponsorship
- Competitive pay with base salary plus variable incentive
- Medical, dental & vision insurance
- Health Savings Accounts (HSA)
- Health Care & Dependent Care Flexible Spending Accounts
- Disability Benefits
- Life Insurance
- Voluntary Benefits
- Paid Absences
- Retirement Benefits
- On-site onboarding with travel expenses covered
- Programs supporting physical and financial well-being
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Salary Range
$96,000 - $132,000
Remote work allowed
Yes
Posted
2 weeks ago