Medical Reviewer, Coder - Seasonal

J29; Gambrills (MD); On-site; USD 55,000 - 85,000; Full time

Job summary

J29 is seeking a Medical Reviewer, Coder for a temporary seasonal role in Maryland. The position supports automated and complex reviews of Medicare FFS claims to assess payment accuracy and compliance with CMS rules.

The role requires 5+ years of medical coding/billing, 3+ years in a productivity-based environment, and remote-work capability across systems. Certification by AAPC/AHIMA is preferred.

Qualifications

• 5+ years of direct medical coding or medical billing experience in a healthcare environment.
• 3+ years in a productivity-based claims or case-working environment using a queued case management system.
• 3+ years working remotely with various technology systems.
• Ideally 3+ years of Medicare FFS experience in a medical coding role or program.

Responsibilities

• Review Medicare FFS claims (Part A/B, DMEPOS, Home Health/Hospice) for overpayments, underpayments, and proper payments.
• Apply CMS rules and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations.
• Document clear, accurate findings for each claim; participate in dispute resolution with supporting documentation.
• Support QA through audits, training, and compliance with CMS security and privacy standards.

Skills

Direct medical coding

Medical billing

Remote work experience

Medicare FFS experience

Education

AAPC/AHIMA certification (official)

Tools

Case management systems (low-code/no-code)

Job description

Medical Reviewer, CoderThis is a temporary seasonal position. Employment is anticipated to continue for up to six months based on business needs. At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact — not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business success.

Key Responsibilities

RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim. Reviewers participate in dispute resolution by re-examining claims and providing supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS security and privacy standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities.

Qualifications

• 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
• 3+ years working in a productivity-based claims or case working environment, out of a queued case management system.
• 3+ years working remotely with various technology systems.
• Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.

Experience

• Experience with low-code, no-code case management systems as an end-user is preferred but not required.

Education/Certification

Certified from an accredited association such as the American Association of Professional Coders (AAPC) or American Health Information Management Association (AHIMA). May also be Registered Health Information Administrators (RHIA) and Registered Health Information Technicians (RHIT); credentialed by AHIMA in their field of health information.