Seasonal Medical Coder

Job Summary

To support a seasonal project, the part-time hourly Medical Reviewer, Coder will perform automated and complex reviews of Medicare Fee-for-Service claims, ensuring compliance with Medicare policies and documenting findings accurately in a remote environment.

Key responsibilities

• Conduct automated and complex reviews of Medicare claims to assess payment accuracy and compliance with policies
• Participate in dispute resolution by re-examining claims and providing necessary documentation
• Collaborate with key personnel to ensure consistency and continuous improvement in review processes

Required qualifications

• 5+ years of direct medical coding or billing experience in a healthcare environment
• 3+ years of experience in a productivity-based claims or case management environment
• 3+ years of remote work experience with various technology systems
• 3+ years of Medicare Fee-For-Service experience in a coding role or program
• Certification from an accredited association such as AAPC or AHIMA is required