Performing clinical and coding medical claim reviews, the full-time State Licensed Medical Coding Reviewer will ensure compliance with coding practices by analyzing medical claims, records, and regulatory guidelines in a remote work environment. Key responsibilities Analyze provider billing practices using code auditing software and regulatory codes Review medical records for consistency with billing for appeals and adjustments Collaborate with the Medical Director to validate decisions and develop medical policy 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
State Licensed Medical Coding Reviewer in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.