Certified Professional Coder, Bill Review Expert

Claims Theory

  • New Jersey
  • Permanent
  • Full-time
  • 2 months ago
Certified Professional Coder / Bill Review ExpertResponsibilities:Review medical bills related to MVA injuries sustained for NJ and or NY covered insuredsConduct reviews of medical bills and supporting documentation to ensure proper codes assignedAssign proper codes as needed based on review outcomeUse various resources, IE: eBooks, 3M software to support reviewsInterpret fee schedule guidelines and apply those guidelines in daily reviewsDocument review outcomes for customer in a professional easy to understand mannerParticipate in conference calls as needed with customer and/or attorneysParticipate in virtual and in person testimony or trial when neededAssist with various special projects and other duties as assignedQualifications and Experience:3-5 years of medical billing experience specifically NJ / NY PIP fee schedulesStrong communicate skills, must be able to explain outcome of review, both written and verballyExtensive knowledge of coding /documentation requirementsThorough knowledge of CPT, HCPCs, ICD-10CPC/AAPC certification requiredAbility to multi-taskAbility to meet critical timelinesWillingness to testify on a as needed bases on behalf of customer to coding outcomesWillingness to travel for testimony as requiredComputer experienceExcel experience beyond beginnerIndependent workerAbility to manage time when working remotelyMust be able to travel to Hamilton NJ office as neededAbility to effectively communicate with team

Claims Theory