Clinical Coder

Job Title: Clinical Coder
Job ID: 74330
Location: Various US States - Fully Remote


Overview:
Under the direction of the DRG Supervisor or designee, conducts coding review of prior authorization requests for unlisted codes or services; retrospective medical claims review for coding and pricing determinations; and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.


What you will be doing:

• Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed.

• Develops determination letters.

• Provides support to non-clinical and clinical staff on coding and pricing and retrospective medical claims review processes.

Salary/Rate Range:  $33.50 - $37.22 hourly


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com