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Clear AllQuality Assurance Remote Medical Coder Cpc Jobs
State Licensed Senior Medical Coder
A company is looking for a Senior Medical Coding Reviewer. Key Responsibilities Minimize fraud, waste, and abuse by performing medical claim reviews for compliance with coding guidelines Provide coding/clinical decisions on claims, adjustments, and appeals according to coding guidelines and
Certified Medical Coder Auditor
A company is looking for a Medical Coder Quality Assurance Auditor.
Certified DRG Claims Auditor
compliance with guidelines Review and analyze claims to support medical policies and identify billing trends for potential recoveries Required Qualifications Associate's degree required; Bachelor's degree preferred Certification as a Certified Inpatient Coder...(CIC), Certified Professional Coder (CPC), or similar 5+ years of experience in DRG validation or claims auditing Thorough knowledge of ICD-10, CPT, HCPCS, and Revenue Billing Codes Nursing license preferred
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Charge Capture Rules Architect
Engine performance, including monitoring tools like PowerBI and Salesforce Maintain and customize the Rule Library to meet client-specific needs and assist with client implementations Required Qualifications Experience with hospital/physician coding Medical...Coding Certification - CCS, CPC, or CPC-H preferred Strong computer skills, particularly in Microsoft Excel and T-SQL Understanding of hospital contracts and reimbursement methodology Experience or interest in LLM, AI, and/or Machine Learning is a
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