State Licensed Medical Coding Reviewer

Job Summary

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities

• Perform clinical/coding medical claim reviews 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

• 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, CPC, CPC-H, CPC-P, CPC-A, CCS, CCS-P, RHIT, RHIA, CPMA, or Paramedic