Clinical Coder
Company: VirtualVocations
Location: Sunnyvale
Posted on: November 19, 2024
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Job Description:
A company is looking for a Clinical Coder to conduct coding
reviews and provide support in medical claims processes.
Key Responsibilities
Conduct coding review of prior authorization requests and
retrospective medical claims
Provide coding-related information to various stakeholders
including medical directors and claims administration
Develop determination letters and support staff on coding and
pricing processes
Required Qualifications
Experience in coding and pricing determinations
Knowledge of diagnosis and procedural coding with DRG
assignment
Ability to conduct retrospective medical claims reviews
Familiarity with unlisted codes or services
Relevant certification or training in clinical coding is
preferred
Keywords: VirtualVocations, Milpitas , Clinical Coder, Healthcare , Sunnyvale, California
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