Remote Medical Coding Reviewer

Job Summary

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities

• Perform clinical and coding reviews of medical claims for compliance with coding practices
• Analyze provider billing practices and review medical records for consistency with billing
• Identify potential billing errors, fraud, and opportunities for prepayment reviews

Required Qualifications

• Associate's degree in a related field or equivalent experience
• Coding certification and 2+ years of experience in medical billing and coding
• Experience in coding/data analysis or clinical experience as an RN/LPN
• Licensure or certification such as LPN, RN, CPC, CCS, or RHIT
• Preferred experience in provider communication and education