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Clinical Coding Manager
VirtualVocationsSpringfield, Missouri, United Statesjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Clinical Coding Manager to oversee clinical claims processing and payment integrity programs.
Key Responsibilities
Manage prospective claim review queues and ensure compliance with clinical DRG coding
Develop strategies for payment integrity team growth and process improvements
Act as a Subject Matter Expert on clinical coding guidelines and provide training to team members
Required Qualifications
CCS or CIC certification (required)
Current or previous nursing / clinical experience or CDI certification (required)
At least 5+ years of experience in Medicare or Medicare Advantage payment integrity or claims operations
Previous experience in the insurance industry
Deep understanding of CMS rules and regulations
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Coding Manager • Springfield, Missouri, United States
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