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Appeals Processing Senior Representative - Evernorth - Remote
390 Cigna-Evernorth Services Inc.
📍
United States, United States
Location
United States
Posted
June 16, 2026
Commute
Local Area
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Job Description
The Clinical Coder conducts outpatient post-service administrative claims or appeals coverage determinations (such as bundling reviews) for which they are empowered outside of our company's clinical unit manager program requirements. This role applies all benefit plan limitations or exclusions and applicable federal and state regulatory requirements to each case review, including Patient Protection and Affordable Care Act. The Clinical Coder also keeps all HIPAA regulatory requirements.
This role is for a Medical Coder; not Appeals Processing.