Clinical Policy Coding Administrator
Premera Blue Cross(1 month ago)
About this role
The Clinical Policy Coding Administrator is a senior specialist on Premera’s Medical Policy and Clinical Coding team who ensures clinical services are accurately represented through proper procedure and diagnosis coding to support appropriate claim payments. The role focuses on aligning coding with medical policy to help manage healthcare costs and improve claims accuracy while serving as a liaison between clinical and operations teams.
Required Skills
- Clinical Coding
- Data Analysis
- Medical Policy
- Claims Configuration
- Claims Processing
- Stakeholder Collaboration
- Research
- ICD Coding
- Utilization Management
- Medical Terminology
+1 more
Qualifications
- Bachelor's Degree
- Certified Professional Coder (CPC)
- Washington RN License (preferred)
- Washington ARNP License (preferred)
- Physician Assistant License (preferred)
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