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Job Classification:Operations - Insurance Operations Help Lead the Future of Medical Stop Loss Claims at Prudential Prudential is continuing to grow and expand its capabilities as a premier medical stop loss carrier. As part of this
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system