Certified Medical Coding Reviewer

Job Summary

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities

• Perform clinical and coding medical claim reviews to ensure compliance with coding practices
• Analyze provider billing practices and review medical records for consistency with billing
• Identify potential billing errors, abuse, and fraud, and maintain appropriate records and documentation

Required Qualifications

• Associate's degree in a related field or equivalent experience
• Coding certification (e.g., CPC, CCS, RHIT) is required
• 2+ years of experience in medical billing and coding or related clinical experience
• Experience in provider communication and education is preferred
• Licensure as LPN or RN is acceptable