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Clinical Analyst I

Company: VirtualVocations
Location: Colorado Springs
Posted on: November 15, 2024

Job Description:

A company is looking for a Clinical Analyst I to perform audits on client data and respond to provider appeals.



Key Responsibilities

Perform daily audits on client data for coding accuracy and completeness
Respond to provider appeals and client logic reviews
Provide feedback to management on editing and efficiency improvements


Required Qualifications and Education

Active professional license as a Registered Nurse (BSN preferred)
2 years of direct patient care experience
Coding certification preferred (CPC, CCS, or CCS-P) or required within the first year
Willingness to obtain NY Independent Insurance Adjuster licensure
Strong knowledge of medical procedures and coding regulations

Keywords: VirtualVocations, Pueblo , Clinical Analyst I, Healthcare , Colorado Springs, Colorado

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