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Geisinger

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Claim Edit and Vendor Integrity Specialist - Geisinger Health Plan (work from home Pennsylvania resident)
Job SummaryActs as a leader, liaison, and resource working collaboratively with a diverse group, including management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to support and expand internal and external strategies.Job DutiesApplies expanded knowledge of CPT, ICD-10 and HCPCS coding skills toward the maintenance and development of prospective claim edits and partnerships.Determines payment compliance with clinical and reimbursement policies.Researches CPT codes to clarify coding issues, as required.Determines opportunities with current vendor partnerships and im


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