Special Functions Clinician
PacificSource Health Plans(18 days ago)
About this role
The Special Functions Clinician role involves performing audits, policy reviews, data analysis, and collaboration with internal teams to ensure compliance, improve quality, and optimize claims and payment processes. The position supports health services policies and assists medical directors with case management and appeals.
Required Skills
- ICD-10
- CPT Codes
- Claims Management
- Data Analytics
- Policy Development
- Clinical Knowledge
- Regulatory Compliance
- Quality Assurance
- Utilization Management
- Project Management
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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