Remote Medical Coding Reviewer

Job Summary

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities

• Perform clinical/coding medical claim review to ensure compliance with coding practices
• Analyze provider billing practices and review medical records for consistency with billing
• Identify potential billing errors, abuse, and fraud while maintaining appropriate records

Required Qualifications, Training, and Education

• Associate's degree in a related field or equivalent experience
• Coding certification and 2+ years of experience in medical billing & coding or related fields
• Experience in provider communication and education preferred
• Licensure as LPN, RN, or relevant coding certifications (e.g., CPC, CCS)
• 2+ years of related clinical experience