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 reports and analyses to track performance related to Pre-Pay and Post-Paid Processes
• Coordinate training and mentoring for claims analysts to enhance coding and documentation accuracy
• Identify and recommend process improvements while collaborating with cross-departmental teams

Required Qualifications

• Associate's degree or equivalent relevant work experience
• Minimum of five years of medical billing and coding experience, including three years in SIU/FWA
• Experience with claim pre-payment and medical claim auditing is required
• Medicaid/Medicare experience is required
• Leadership experience is preferred