Remote Medical Coding Reviewer

Job Summary

A company is looking for a Medical Coding Reviewer I to perform clinical and coding medical claim reviews.

Key Responsibilities

• Analyze provider billing practices and ensure compliance with coding standards
• Review medical records for consistency in billing and assist with coding-related queries
• Identify potential billing errors and opportunities for policy creation in collaboration with the Medical Director

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, accounting/business, or clinical roles (RN/LPN)
• Preferred experience in provider communication and education
• Relevant licenses/certifications such as LPN, RN, CPC, or RHIT