Remote CPC Medical Coding Reviewer for Federal IDR

ExamWorks; United States; Remote; USD 34,000 - 55,000; Part time

Job summary

ExamWorks is seeking experienced Certified Professional Coders (CPCs) to perform remote medical coding reviews in support of Federal IDR cases under No Surprises Act. This role involves analyzing complex billing documentation and delivering code-level insights within set deadlines.

The Medical Coding Reviewer will assess itemized bills, DRG/APC assignments, and QPA validity, ensuring neutrality and accuracy in every review. Remote, flexible opportunity for experienced coders across the US.

Qualifications

• Active CPC credential through AAPC required.
• Minimum of 3 years coding/claims experience.
• CCS, COC, CRC or other credentials are a plus.
• Experience with out-of-network billing or revenue.
• Strong knowledge of medical coding and claims documentation.
• Ability to work independently and meet deadlines.
• Ability to maintain neutrality and provide objective analysis.
• No conflicts of interest with providers or payers as required under Federal IDR

Responsibilities

• Review itemized bills, coding documentation, and payments submitted by disputing parties.
• Assess coding accuracy and supporting documentation.
• Review DRG and APC assignments.
• Assess the validity of the Qualifying Payment Amount (QPA).
• Identify coding discrepancies or other billing issues.
• Provide clear, code-level analysis to support the IDRE’s determination.
• Complete assigned reviews within required turnaround times.

Skills

CPC credential

3+ years experience

DRG/APC knowledge

Neutrality

Job description

ExamWorks is seeking experienced Certified Professional Coders (CPCs) to perform remote medical coding reviews in support of Federal IDR cases under No Surprises Act. This role involves analyzing complex billing documentation and delivering code-level insights within set deadlines.

The Medical Coding Reviewer will assess itemized bills, DRG/APC assignments, and QPA validity, ensuring neutrality and accuracy in every review. Remote, flexible opportunity for experienced coders across the US.