Remote | Freelance
Judge Group

Recovery Resolution Analyst – Clinical Coder

ID: 618568

Type: Contract

Location: REMOTE

Salary: Open

Judge Healthcare is currently seeking a Recovery Resolution Analyst – Clinical Coder – Remote from Home

Shift: 8AM -5PM CST

Seeking: Clinical Reviewers with strong ICD-10/DRG validation experience

This job will have the following responsibilities:

  • Clinical Case Reviews
  • Provide clear and concise clinical logic to the providers when necessary
  • Other internal customer correspondence and team needs
  • Attend and provide feedback during monthly meetings with assigned internal customer department
  • Provide continuous feedback on how to improve the department relationships with internal team members and departments.
  • Maintain standards for productivity and accuracy. Standards are defined by the department.
  • Perform clinical review of facility claims vs. medical records to determine if the claim is supported or unsupported

Qualifications & Requirements:

Required Coding Certificate or Nursing Licensure, for example:

  • Certified Inpatient Coder (CIC)
  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Professional Medical Auditor (CPMA)
  • Certified Coding Specialist (CCS)

Performs other duties as assigned.