Clinical Coder
Location: Austin, TX (location is non-negotiable)
The Clinical Coder will prioritize medical review for individual case safety report in accordance with guidelines, regulatory due dates, turnaround time/Service Level Agreements (SLA’s) and Key Performance Indicators (KPI’s). Review medical source documents and narrative to ensure accurate and appropriate information is entered into Global Safety Database. Confirm and advise on medical assessment queries from case processing associates, literature reviewers, quality reviewers and triage associates.
Job Description
Embedding digital transformation in healthcare operations end to end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow
Part of the Healthcare Claims team which is responsible for the administration of health claims
This team is involved in core claim processing such as registering claims editing verification claims evaluation and examination litigation
Manage review data generated through manual or programmed listings including, but not limited to all external data sources
Roles and Responsibilities
Required to do analysis and solving of increasingly complex problems
Research medical policies and determine effects to claims edits and audits
Work collaboratively with customers and lead workgroups
Assist with claims processing and review medical documentation
Assist with customer auditing programs
Assist with creation and maintenance of work instructions for claims processing.
Job Requirements
Must meet Accenture’s Primary Residential Location (PRL) for the Austin office