Recovery Resolution Analyst – Clinical Coder
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.