Certified Medical Coding Reviewer

A company is looking for a PI Medical Coding Reviewer III (CPC, RHIT or RHIA required).

Key Responsibilities

Generate in-depth reporting and analysis for Pre-Pay and Post-Paid Processes

Provide training and mentorship to claims analysts and recommend process improvements

Analyze complex provider claims submissions using coding rules and guidelines

Required Qualifications, Training, and Education

Associate's degree or equivalent relevant work experience is required

Minimum of five years of medical billing and coding experience, including three years in SIU / FWA

Prior experience with claim pre-payment and medical claim auditing is required

Medicaid / Medicare experience is required

Certified Medical Coder (CPC, RHIT or RHIA) is required at time of hire