Yuma, AZ · Remote
$80K - $90K/yr
This position is ideal for a highly analytical professional who thrives in a fast-paced, remote ... Escalate complex or high-risk cases to the Medical Director as appropriate Required Qualifications
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Yuma, AZ · Remote
$80K - $90K/yr
This position is ideal for a highly analytical professional who thrives in a fast-paced, remote ... Escalate complex or high-risk cases to the Medical Director as appropriate Required Qualifications
$15.22 - $19.76
3% of jobs
$19.76 - $24.31
7% of jobs
$24.31 - $28.85
12% of jobs
$29.74 is the 25th percentile. Wages below this are outliers.
$28.85 - $33.39
15% of jobs
$33.39 - $37.93
13% of jobs
The median wage is $38.08 / hr.
$37.93 - $42.47
16% of jobs
$42.47 - $47.01
8% of jobs
$47.58 is the 75th percentile. Wages above this are outliers.
$47.01 - $51.55
11% of jobs
$51.55 - $56.09
6% of jobs
$56.09 - $60.64
6% of jobs
$60.64 - $65.18
3% of jobs
$15
$40
$65
| Aspect | Remote Geopolitical Risk Analyst | Remote Political Risk Analyst |
|---|---|---|
| Credentials | Degree in International Relations, Political Science, or related fields; certifications in risk analysis | Similar credentials; often holds certifications in risk assessment or political analysis |
| Work Environment | Remote, often with think tanks, consultancies, or financial firms | Remote, typically with consulting firms, financial institutions, or government agencies |
| Industry Usage | Used in finance, consulting, and international organizations to assess global risks | Used in finance, insurance, and consulting to evaluate political stability and risks |
Both roles involve analyzing political and geopolitical factors impacting organizations. The main difference lies in the scope: Geopolitical Risk Analysts focus on global geopolitical events, while Political Risk Analysts often concentrate on specific political stability and policy risks within countries. Both roles require similar skills and credentials, and are often found in similar industries working remotely to inform strategic decision-making.
$80K - $90K/yr
Full-time
Posted 5 days ago
The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.
In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.
Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding
Perform DRG validation and retrospective medical claims reviews
Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations
Prepare clear, detailed determination letters and written review outcomes
Identify coding discrepancies, potential fraud, and quality concerns
Provide training, mentorship, and guidance to clinical coding staff
Collaborate with cross-functional teams to support coding inquiries and review findings
Research and apply medical policies, benefits, limitations, and current coding guidelines
Ensure timely completion of coding reviews in alignment with performance standards
Maintain accurate and thorough documentation within medical management and claims systems
Escalate complex or high-risk cases to the Medical Director as appropriate
High School Diploma or GED
Active credential in one of the following:
Certified Inpatient Coder (CIC)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Minimum of five (5) years of clinical coding experience (facility and/or professional)
Minimum of three (3) years of inpatient and/or outpatient claims processing experience
Experience working in a fast-paced, production-driven environment
Ability to obtain and maintain a favorable background investigation
U.S. Citizenship required
Experience within managed care, health insurance, or private healthcare industry
Familiarity with government healthcare programs and regulatory guidelines
Advanced expertise in inpatient facility coding and DRG validation
Strong analytical, critical thinking, and problem-solving skills
High attention to detail with strong organizational capabilities
Ability to manage large volumes of complex information independently
Effective communication and collaboration across multidisciplinary teams
Proficiency in Microsoft Word, Excel, and multi-system environments
100% Remote (must reside in an approved state)
Full-time position
Independent home office work environment required
Prolonged computer use and sitting required
Flexibility to support varying work schedules as needed