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Medical Coding Expert | Night Shift
1 week ago
Discover a fulfilling career with MicroSourcing.
Job DescriptionThe Medical Content Analyst 3 will research and identify Medicare, Medicaid, and other medical coding and billing documents to develop claim denial or covered criteria for our automated claims editing solution. This solution is utilized by medical insurance payers across the United States.
This position involves providing written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria. The successful candidate will provide clinical content support to customers as needed and perform data entry of clinical content updates into database, as required.
Responsibilities- Research and identify Medicare, Medicaid, and other medical coding and billing documents to develop claim denial or covered criteria for our automated claims editing solution.
- Provide written and oral presentations to Medical Director (physicians) and other clinical colleagues to obtain consensus on proposed denial criteria.
- Provide clinical content support to customers as needed.
- Perform data entry of clinical content updates into database, as required.
- Bachelor's degree in Nursing, Pharmacy, or equivalent required.
- Four years' experience in medical billing, coding, claims processing, bill and/or chart review/auditing, is required.
- Previous experience working with US health insurance payers in a claims, appeals, or coding capacity is also required.
