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Payor Enrollment Specialist (Medicare or Medicaid exp preferred) (Provider Enrollment Dept) - REMOTE
Vanderbilt Health
Nashville, Tennessee
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Veterans Affairs, Veterans Health Administration
Salt Lake City, Utah
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University of Maryland Medical System
Columbia, Maryland
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Memorial Sloan Kettering Cancer Center
New York, New York
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Certified Medical Coder
JOB SUMMARY: The Certified Medical Coder will lead administrative/operational support tasks that require independent review and judgment relative to coding concerns. The Certified Medical Coder will review claims data to ensure that assigned codes and supplies meet state, federal and health plan guidelines. The certified medical coder will conduct research including review of medical records and correspond with the appropriate claims or medical management staffing personnel. JOB SPECIFICATIONS Essential Functions25 % Responsible for assisting with appeals and payment disputes /denials. The coder will review clinical documentation utilized in the decision-making pro
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