Medical Bill Review Analyst

Location: Nationwide

Compensation: Hourly

Staff Reviewed: Mon, Sep 18, 2023

This job expires in: 26 days

Job Category: Financial

Remote Level: 100% Remote

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A company is looking for a Medical Bill Review Analyst.

Key Responsibilities:

Process routine to complex claims and electronic work queues in accordance with company policies and procedures
Interpret and process systems edits using Documentation Guidelines and state fee schedules
Research information using State Reference Guides as a resource and follow client protocols and implementation dates

Required Qualifications:

High School Diploma or equivalent
Certified Professional Coder (CPC) designation from the American Academy of Professional Coders
2+ years of recent experience with CPT, CPT Modifiers, HCPCS, ICD-9, ICD-10 coding guidelines
2+ years of experience in Evaluation and Management, specifically related to 2021 AMA CPT changes
3+ years of experience in claims processing for medical bill review or Clinical Code Review in Worker's Compensation

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