Remote CPC/PIP Coding & Bill Review Expert

MEDLOGIX, LLC; Hamilton Township (NJ); Remote; USD 55,000 - 60,000; Full time

Job summary

Medlogix, LLC is seeking a Certified Professional Coder / PIP Adjuster for a remote, full-time position in the US with a schedule Monday–Friday 8am–4:30pm. The role focuses on reviewing NJ/NY fee schedules, CPT/HCPCS/ICD-10 coding, and bill review for PIP and MVA claims.

A CPC certification and strong PIP experience are required. Candidates must be able to travel to Hamilton, NJ as needed and participate in testimony or hearings when required.

Qualifications

• 3-5 years experience conducting code reviews; NJ/NY PIP fee schedules
• Must have attention to details and ability to explain the outcome of the review
• Strong communication skills, must be able to explain the outcome of the review, both written and verbally
• Thorough knowledge of CPT, HCPCS, ICD-10

Responsibilities

• Use various resources to support reviews; IE: CPT guidelines, CPT Assistant, Encoder Pro, 3M Software
• 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

Skills

Attention to detail

Strong communication

Remote work discipline

Education

Certified Professional Coder (CPC) - AAPC

Tools

3M Software

Encoder Pro

CPT guidelines

Job description

Medlogix, LLC is seeking a Certified Professional Coder / PIP Adjuster for a remote, full-time position in the US with a schedule Monday–Friday 8am–4:30pm. The role focuses on reviewing NJ/NY fee schedules, CPT/HCPCS/ICD-10 coding, and bill review for PIP and MVA claims.

A CPC certification and strong PIP experience are required. Candidates must be able to travel to Hamilton, NJ as needed and participate in testimony or hearings when required.