TEEMA

A leading healthcare consulting firm is seeking a Senior Clinical Coder to join their team remotely. This role requires expertise in medical claims coding and DRG validation, with responsibilities including conducting reviews and ensuring compliance. The ideal candidate has over 5 years of experience and relevant certifications, with strong analytical skills and attention to detail. Competitive salary ranges from $80,000 to $90,000 annually, and the position requires U.S. citizenship and the ability to work independently. #J-18808-Ljbffr

Job Title: Senior Clinical Coder Job ID: 86412 Location: Arizona, USA – Remote Overview We are seeking an experienced Senior Clinical Coder to join a high-performing clinical operations team. In this role, you will serve as a subject matter expert in medical claims coding and DRG validation, performing retrospective reviews for both inpatient and outpatient services to ensure accurate coding, compliance, and appropriate reimbursement. This position plays a key role in supporting medical directors, claims teams, quality management, and provider review processes by delivering detailed coding analysis, determinations, and education. What you will be doing Serve as the SME for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and pricing determinations Prepare determination letters and written review outcomes Identify potential fraud, quality concerns, and...