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RN Medical Coding Consultant

workfromhome • Posted 4 days ago
Remote Full Time Office and Administrative Support Occupations

Leading cross-functional initiatives, the full-time RN Medical Coding Consultant will research and develop clinical services, manage episodic projects, and support the implementation of medical policies and coding practices while working remotely. Key responsibilities Research and maintain coding systems, including CPT, CDT, HCPCS, and ICD-10, to meet business needs Independently manage complex projects and draft/revise medical policies based on evidence-based practices Prepare recommendations for internal and external audits while collaborating with various departments to support clinical initiatives Required qualifications Current, non-restricted clinical license Bachelor's Degree in Nursing is required; Advanced Practice Provider degree is preferred Minimum of 5 years in a clinical setting with experience in medical coding, preferably in managed care Certification from the American Association of Professional Coders (AAPC) in Medical Coding is required Strong working knowledge of claims administration and healthcare data analysis

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