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Remote Medical Coding Reviewer
Zusammenfassung
A healthcare organization is seeking a Medical Coding Reviewer I to perform medical claim reviews, ensuring compliance with coding practices. Candidates should have an Associate's degree, coding certification, and at least 2 years of experience in medical coding. Strong analytical skills and attention to detail are essential for success in this role.
Qualifikationen
- Associate's degree in a related field or equivalent experience.
- Coding certification and 2+ years in medical billing & coding or related fields.
- Experience in provider communication and education preferred.
Aufgaben
- Perform clinical/coding medical claim review to ensure compliance.
- Analyze provider billing practices and review medical records for consistency.
- Identify potential billing errors, abuse, and fraud while maintaining records.
Kenntnisse
Ausbildung
Tools
A company is looking for a Medical Coding Reviewer I.
- Perform clinical/coding medical claim review 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
- 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, or relevant coding certifications (e.g., CPC, CCS)
- 2+ years of related clinical experience
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