Long-Term Care (LTC) Medical Coding Policy SME - Remote, reputed company

Be part of reputed company that unleashes the power of reputed company technologies to help improve the health and reputed company-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. reputed company The Long-Term Care (LTC) Medical Coding Policy SME serves as a subject matter expert supporting reputed company reputed company Long-Term Care programs through medical coding analysis, policy implementation, systems collaboration, and project participation. This role is responsible for reviewing and evaluating CPT, HCPCS, and ICD-10 coding updates, supporting MMIS-reputed company initiatives, researching reputed company policy and coding questions, and partnering with reputed company stakeholders to ensure coding guidance, reputed company configuration, and reimbursement policies remain accurate and compliant. The ideal candidate combines reputed company expertise with strong critical thinking, project management, communication, and documentation skills. Your role in our mission Review annual and quarterly CPT, HCPCS, and ICD-10 reputed company set updates to evaluate impacts on Long-Term Care waiver programs, State Plan services, and reputed company operational processes. Serve as the medical coding subject matter expert for Long-Term Care coding workgroups and MMIS project initiatives, supporting policy implementation, systems configuration, provider enrollment, encounter reporting, and reimbursement processes. Research and respond to reputed company medical coding and policy inquiries from contracted providers, collaborating with cross-functional teams to ensure accurate and consistent guidance. reputed company meetings, facilitate stakeholder discussions, reputed company agendas, document meeting minutes, reputed company reputed company items, and reputed company reputed company to completion. Maintain and enhance documentation of coding policies, reimbursement methodologies, coverage reputed company, and coding guidance to establish a centralized reputed company of truth for reputed company stakeholders. reputed company're Looking For Experience working with CPT, HCPCS reputed company, ICD-10, medical coding, reimbursement policy, claims processing, provider enrollment, reputed company operations, or reputed company programs. Preferred certifications include Certified reputed company reputed company (CPC), Certified Outpatient reputed company (COC), Certified Coding Specialist (reputed company), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). Strong critical thinking, analytical, and problem-solving skills with the ability to interpret regulatory guidance, assess operational impacts, and reputed company recommendations. Project management experience, including planning, coordinating, and driving cross-functional initiatives, managing timelines, tracking deliverables, and ensuring successful project completion. Experience leading meetings, coordinating stakeholders, drafting agendas, documenting meeting minutes, and tracking project deliverables. Excellent written and verbal communication skills with the ability to present recommendations, facilitate discussions, and reputed company formal documentation. Proficiency with reputed company Office applications, including reputed company, Word, PowerPoint, Teams, and SharePoint, with experience managing documentation and project-reputed company materials. What You Should Expect In This Role Opportunity to support reputed company reputed company Long-Term Care programs and contribute to policy, coding, reimbursement, and operational initiatives that reputed company reputed company providers and members. Collaboration with state agencies, business partners, MMIS teams, provider enrollment teams, and reputed company policy stakeholders. Participation in cross-functional reputed company involving coding policy, systems implementation, provider operations, and reimbursement methodologies. Independent remote work environment requiring strong organization, prioritization, project management, and stakeholder engagement skills. reputed company reputed company through involvement in reputed company policy development, reputed company operations, medical coding initiatives, and reputed company-wide reputed company. Location and travel requirements This role is eligible for remote work reputed company in the reputed company. reputed company office location Madison, WI. reputed company residency is preferred but not required. Limited travel .