Remote Retrospective Clinical Investigator

Location: Nationwide

Compensation: Hourly

Staff Reviewed: Thu, Jun 03, 2021

This job expires in: 12 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A healthcare company is seeking a Remote Retrospective Clinical Investigator.

Candidates will be responsible for the following:

  • Initiating phone calls to members, providers, and other insurance companies
  • Processing recovery on claims
  • Ensuring adherence to state and federal compliance policies, reimbursement policies

Qualifications for this position include:

  • High school diploma or GED (or higher)
  • Certified Coder AHIMA or AAPC Certified coder (CPC, CCS, CCA, RHIT, CPMA, RHIA, CDIP) or Nurse (RN, LPN) with unrestricted license
  • 2+ years of practical specialty coding (Neurology, Cardiology, Orthopaedics, etc.)
  • 2+ years of practical experience interpreting reimbursement policies and provisions for Medicare, Community and State, Employer and Individual
  • 2+ years of experience as AHIMA or AAPC Certified coder (CPT/HCPCS/ICD – 10/CM/PCS coding experience) or
  • Licensed nurse with 2+ years of CPT/HCPCS/ICD – 10/CM/PCS coding experience (Professional)

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