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