CPC Certified Review Specialist

Job Summary

A company is looking for a Professional Review Specialist I.

Key Responsibilities

• Analyze medical services to determine the appropriateness of charges on medical bills
• Collect and analyze data to make decisions regarding billing and treatment plans
• Document work and conclusions in designated computer programs

Required Qualifications, Training, and Education

• Bilingual in English and Spanish
• Associate's degree or equivalent experience
• CPC or CPC-A certification required
• Preferred experience in medical bill auditing and worker's compensation claims process
• Knowledge of ICD Diagnoses and Procedure Codes, and C.P.T