Certified Professional Coder (Remote) - PIP Experience

Medlogix; Trenton (NJ); Remote; USD 68,000 - 124,000; Full time

Job summary

A leading company is seeking a Certified Professional Coder to work remotely from anywhere in the U.S. This role involves reviewing medical bills related to MVA injuries, ensuring the accuracy of coding, and handling communication with clients. Candidates must have 3-5 years of relevant experience, a CPC certification, and strong coding knowledge.

Qualifications

• 3-5 years experience conducting code reviews, specifically NJ/NY PIP fee schedules.
• Ability to explain review outcomes clearly, both written and verbatim.
• Thorough knowledge of CPT, HCPCs, ICD-10.

Responsibilities

• Review medical bills for accuracy of services related to MVA injuries.
• Assign proper CPT, HCPCs codes based on review outcomes.
• Document review outcomes professionally for customers.

Skills

Communication

Coding Knowledge

Multi-tasking

Time Management

Independent Work

Education

CPC Certification through AAPC

Tools

Excel

Job description

Certified Professional Coder (Remote) - PIP Experience

Certified Professional Coder (Remote) - PIP Experience

3 days ago Be among the first 25 applicants

Direct message the job poster from Medlogix

Employee Development and Project Management Professional

Certified Professional Coder / Bill Review Expert

Location:

Remote- Anywhere in US

Responsibilities

• Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds
• Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes
• Assign proper CPT, HCPCs codes based on the review outcome
• Review CPT codes for unbundled services
• Review billed modifiers for accuracy of use
• Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement
• Interpret fee schedule guidelines and apply those guidelines in daily reviews
• Document review outcomes for customers in a professional easy to understand manner
• Use various resources, IE: eBooks, 3M software to support reviews
• Participate in conference calls as needed with customers and/or attorneys
• Participate in virtual and in-person testimony or trial when needed
• Assist with various special projects and other duties as assigned
  
  

Qualifications And Experience

• 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
• Strong communication skills, must be able to explain the outcome of the review, both written and verbally
• Extensive knowledge of coding /documentation requirements
• Thorough knowledge of CPT, HCPCs, ICD-10
• Must have active CPC certification through AAPC
• Ability to multi-task
• Ability to meet critical timelines
• Willingness to testify on a needed basis on behalf of customer to coding outcomes
• Willingness to travel for testimony as required
• Computer experience
• Excel experience beyond beginner
• Independent worker
• Ability to manage time when working remotely
• Must be able to travel to Hamilton NJ office as needed
• Ability to effectively communicate with the team

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Insurance

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