Certified Medical Coding Reviewer

Job Summary

A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification.

Key Responsibilities

• Generate in-depth reporting and analysis for Pre-Pay and Post-Paid Processes
• Coordinate training for claims analysts and identify knowledge gaps
• Analyze complex provider claims submissions using medical coding guidelines

Required Qualifications, Training, and Education

• Associate's degree or equivalent relevant work experience required
• Minimum of five years of medical billing and coding experience required
• Three years of SIU/FWA medical billing and coding experience required
• Experience with Medicaid/Medicare and claim auditing required
• Certified Medical Coder (CPC, RHIT, or RHIA) required at time of hire