Medical Reviewer, Coder - Seasonal

J29, Inc; United States; Remote; USD 48,000 - 55,000; Full time

Job summary

J29, Inc is seeking a Medical Reviewer, Coder for a remote, temporary six-month assignment focused on reviewing Medicare FFS claims across Part A/B, DMEPOS, and Home Health/Hospice.

The role requires 5+ years of medical coding/billing experience, strong knowledge of CMS rules, and ability to work remotely within a productivity-based environment; certification by AAPC/AHIMA is preferred.

Qualifications

• 5+ years of direct medical coding or medical billing in a healthcare setting.
• 3+ years in a productivity-based claims or case management environment.
• 3+ years working remotely with various technology systems.
• Medicare FFS experience preferred.
• Experience with low-code / no-code case management systems is a plus.

Responsibilities

• Review Medicare FFS claims (Part A/B, DMEPOS, Home Health/Hospice) for accuracy.
• Apply CMS and NCD/LCD policies and document findings.
• Support dispute resolution with documentation.
• Assist with audits, training, and process improvement.
• Ensure CMS security and privacy compliance.
• Collaborate with stakeholders to ensure consistency.

Skills

Medical coding experience

Medical billing experience

Remote work experience

Medicare FFS experience

Low-code / no-code case management

Education

AAPC / AHIMA certification

Tools

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

Job description

This is a temporary seasonal position. Employment is anticipated to continue for up to six months based on business needs.

Medical Reviewer, Coder

Location: Remote

Rate: $35-40 hourly

About J29

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 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