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Medical Claims/Coding Reviewer - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, Arizona 85003 Phoenix, Arizona |
About this job
Currently seeking Medical Review Clerks for a large company in North Phoenix!
Reviewing medical documentation to determine correct coding on submitted medical and behavioral health claims utilizing appropriate clinical staff resources. Update authorizations as necessary with appropriate codes.
Summary:
- Conducts medical documentation review to determine appropriateness of coding of service
- Validates medical determinations through research of resources including regulatory manuals, computer files and documentation.
- Assists in preparation of cases for program payment or medical director review as indicated.
- Validates all appropriate data is supplied with program invoice.
- Reviews Authorization data for process improvements
- Ensures contract compliance for timelines regarding resolution of medical documentation review and updates
Qualifications Include:
- High school diploma or G.E.D.
1+ years claims review experience
Medical terminology knowledge
1+ years working with medical documentation
Qualified candidates please apply below or send your resume directly to Megan Allardt!
About Aerotek:
Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.