Perform retrospective medical claim audit reviews for clinical validation, correct coding and DRG.
Key Job RESPONSIBILITIES:
Duties may include, but not limited to all or some of the following:
Responsible for general clinical validation.
Review claims (both provider and facility) and associated medical records to confirm correct coding.
Reference nationally accepted treatment guidelines, drug related literature, updated scientific literature and personal experience to ...
pharmadiversityjobboard.com - 30+ days ago
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