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Clinical Data Reviewer Jobs
Company | Natera |
Address | Austin, TX, United States |
Employment type | FULL_TIME |
Salary | |
Category | Software Development,Biotechnology Research,Pharmaceutical Manufacturing |
Expires | 2023-08-18 |
Posted at | 9 months ago |
Position Summary
- Identifies and uses internal and external sources of information for benchmarking and comparative performance, which includes networking with clinical communities, researching literature and agencies, and staying current on new indicators and other requirements
- Identify order and reimbursement deficiencies - both clinical and code related
- Complete position responsibilities within the appropriate time frame while adhering to quality standards
- Identify and escalate missing, and sometimes invalid, clinical order data for timely contact resolution with supporting cross functional teams
- Stay current with relevant medical billing regulations, rules and guidelines
- Partner with multiple internal cross-functional teams and successfully manage multiple product projects simultaneously.
- Translate data into meaningful information and knowledge that supports decision making or determining action that drives performance improvement and quality
- Maintains strictest confidentiality, and adheres to all HIPAA guidelines/regulations
- Support and comply with the company’s policies and procedures.
- Research claim and account information using various systems and portals internal and external
- Investigate and correct, where appropriate, deficient clinical claim information
- Regular and reliable attendance.
- Ability to meet productivity and quality standards set by Clinical Data Specialists.
- Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
- Superior organization skills, detail oriented, and ability to be persistent and follow through
- Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner
- Authorization to work in the United States without sponsorship.
- 1+ years professional coding experience and understanding of International Classification of Diseases (ICD-10) and Coding Procedure Terminology (CPT) and HCPCS coding.
- Ability to work both independently and in collaboration with individuals from various disciplines
- Problem-solving, ability to adapt, flexibility in approaches to accomplishing tasks, and ability to independently arrive at creative solutions to problems
- Any years of experience in the revenue cycle function to include third party payer experience.
- Knowledge and familiarization with Medicare billing regulations and reimbursement methodologies for Laboratory
- Understanding of professional coding, documentation, medical billing processes.
- 2+ years of experience coding in the medical/healthcare billing area- Lab a plus
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