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Clinical Coder

Company: VirtualVocations
Location: Sunnyvale
Posted on: November 19, 2024

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, Arden-Arcade , Clinical Coder, Healthcare , Sunnyvale, California

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