Job Description
Are you a skilled coder or bill reviewer with a passion for accuracy and detail? We're seeking dedicated professionals to join our dynamic team. We offer a stimulating work environment, competitive compensation, and opportunities for growth.
Job Summary:
In this role, you will leverage your clinical expertise to review medical records and ensure the accuracy of medical billing and coding. Your role involves collaborating with other reviewers and office teams to clarify information, address queries, and ensure timely completion of reports.
Core Duties & Responsibilities:
Assess the appropriateness of codes and verify they align with established program standards.
Ensure medical records correspond correctly with codes, obtaining any missing records as needed.
Apply policy guidelines and healthcare terminology to determine if criteria are met.
Review claims for conflicts of interest and appropriateness of criteria.
Adhere to deadlines established by program parameters.
Provide exceptional customer service, working closely with clients to deliver complete, timely, and accurate case reviews.
Offer clinical oversight for complex cases needing additional review before returning to the client.
Serve as an additional layer of quality assurance and clinical review for cases with quality issues.
Requirements:
Education & Experience:
Certification as a CPC, AAPC, or DRG coder is required.
Experience in payment integrity or professional bill review is highly preferred.
Out-of-network bill review experience is a plus.
Previous remote work experience is preferred.
Background in a medical office or healthcare setting is beneficial.
Skills:
Ability to work efficiently and meet deadlines.
Self-motivated with a strong commitment to performance excellence.
Excellent written and verbal communication skills.
Proficiency with various computer programs (experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
Keen attention to detail is essential.
Important Notice:
To protect the security of both parties, please be aware that interviews will not be conducted via text, and we will never ask candidates to purchase equipment or provide checks.
Benefits:
We offer generous Paid Time Off, a comprehensive benefits package, and a competitive salary. If you're an exceptional candidate who thrives in a fast-paced environment and is passionate about making a meaningful impact, we encourage you to apply!
Employment Type: Full-Time
Salary: $ 18.00 24.00 Per Hour
Job Tags
Hourly pay, Full time, Work experience placement, Remote job,