Certified Medical Claims Reviewer

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Dec 19, 2025

Job Summary

A company is looking for a Medical Claims Reviewer, Associate.

Key Responsibilities
  • Assist with auditing charts and adjudicating claims while ensuring compliance with regulations
  • Review claims prior to payment and identify irregularities or fraud by providers
  • Ensure billing adheres to CPT guidelines and assist in resolving provider issues


Required Qualifications
  • 0-2 years of relevant work experience
  • Certified as a Certified Professional Coder-Apprentice (CPC-A)
  • Current coding certification from AAPC
  • Knowledge in medical coding and billing procedures

COMPLETE JOB DESCRIPTION

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