All jobs → Partner boards

Senior Clinical Coding Analyst

TriWest Healthcare Alliance • Phoenix, AZ, US • published 2026-10-02 15:58:45.733030

Description

**Profile** ----------- We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI \& WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! **Job Summary** Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment. Subject matter expert on medical claims coding for outpatient and inpatient services. Provides coding\-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Functions as the designated recipient for factual network provider claim review requests. Develops determination letters and conducts validation reviews of automated systems. Provides support to non\-clinical and clinical staff on coding and retrospective medical claims review processes and supp...

Get jobs like this daily in Telegram: @careeri_bot