Job Description
OUTPATIENT MEDICAL CODERS (CLINICAL VALIDATION)
- Perform daily clinical validation reviews on client data for completeness and accuracy of coding procedures and diagnoses, as well as, modifiers utilizing both coding and clinical background to ensure appropriateness for reimbursement
- Review provider appeals based on received documentations utilizing coding and client specific guidelines
- Provide feedback on possible changes to enhance system/clinical validation and appeals review process and efficiency
Qualifications:
- Must have active certification / license in AAPC/AHIMA (CPC/CCS/CRC/CIC or equivalent)
- Must be a Registered Nurse (RN)
- Experience as a medical coder is a plus but not required–certified coders w/o experience are most welcome to apply to as well
- Amenable to working rotational shift
- Temporary WFH provided for this role (until further notice)
- Able to start by either Sept 23 or Oct 28
