Medical Coder - Claims Adjudication

Job Summary

A company is looking for a Provider Reimburse Admin.

Key Responsibilities

• Ensure accurate claims adjudication using translated clinical policies and reimbursement criteria
• Conduct clinical research and data analysis to support policy development and update coding systems
• Audit claim systems for adjudication issues and prepare provider communications regarding updates

Required Qualifications

• BA/BS degree
• 2+ years of related medical coding or claims experience
• Certified Professional Coder-Apprentice (CPC-A) certification strongly preferred
• RN license strongly preferred, but not required