Certified Medical Coder

Job Summary

A company is looking for a PI Medical Coding Reviewer I.

Key Responsibilities

• Manage medical records requests and ensure timely processing
• Review claims and make payment decisions based on medical coding guidelines
• Monitor dispute and appeal reports, ensuring adherence to departmental standards

Required Qualifications, Training, and Education

• Associate's degree or equivalent relevant work experience is required
• Minimum of one (1) year of medical bill coding experience is preferred
• Medicaid/Medicare experience is preferred
• Experience with reimbursement methodology (APC, DRG, OPPS) is preferred
• Certified Medical Coder (CPC, RHIT, or RHIA) is required at time of hire or within 18 months