Medical Coding Specialist

Job Summary

A company is looking for a Payment Integrity Associate - Itemized Bill Review.

Key Responsibilities:

• Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms
• Identify and document potential billing errors and compare billed charges against payor-specific contracts
• Provide subject matter expertise on complex billing issues and support internal audit processes

Required Qualifications:

• A bachelor's degree or 4+ years of relevant experience
• 2+ years of bill/coding audit experience with a focus on hospital or facility billing (UB-04)
• 4+ years of experience in medical coding
• Medical coding certification through AAPC or AHIMA
• Experience with reimbursement methodologies and claims processing practices