Certified Medical Bill Reviewer

Job Summary

Reviewing and analyzing medical claims and patient medical records, the full-time Certified Medical Bill Reviewer will perform high-dollar facility bill reviews and help train automated audit systems in a remote setting.

Key responsibilities

• Combing through UB-04/IB forms for potential coding/billing violations
• Comparing itemized bills against medical records to validate charges and assess documentation quality
• Auditing revenue codes against clinical documentation and confirming services billed were rendered

Required qualifications

• Facility Inpatient Coding/Auditing Experience
• Certification in CPC, CIC, CRC, or CPMA is mandatory
• Minimum of 3 years of auditing/bill review experience
• Deep background in medical billing, coding, or auditing of insurance claims and medical records
• Knowledge of PHI/HIPAA compliance and standards