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edi icd cpt/hcpcs javelina drg📋 Description
- Analyze benefit plan documents to build categories and adjudication rules
- Lead configuration team with training, process development, QA
- Support cross-functional teams during implementations/renewals
- Provide support for escalations and complex configuration requests
- Perform root cause analysis of adjudication logic and defects
- Create and update policies for accumulators and plan configurations
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