Remote Medical Bill Audit & Repricing Specialist

Dane Street; Washington (District of Columbia); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote work opportunities

Apple equipment and media stipend

401k with company match

Comprehensive benefits

Job summary

Dane Street is seeking a Bill Review Specialist to connect clinical data with strategy, performing medical data entry and analyses using national repricing systems to review high-exposure medical claims. You will conduct line-item audits, apply payer guidelines, and translate CPT/ ICD-10/HCPCS/DRG coding for attorneys, ensuring reimbursement integrity across multiple lines of coverage.

This role supports our objective of accurate, defensible patient billing insights in a remote, collaborative

Qualifications

• Experience reviewing invoices, billing statements, or financial documentation.
• Ability to identify incorrect, duplicate, or unsupported charges.
• Strong attention to detail and accuracy.
• Ability to identify improperly bundled, unbundled, or redundant charges (if this is essential to the role).

Responsibilities

• Conduct regular quality control of reports
• Software & Payer System Repricing Optimization
• Apply knowledge of repricing payer guidelines to maximize accuracy and identify erroneous billing/overbilling.
• Ensure correct application of fee schedules, line-item audits,CCI edits, and clinical validation rules across commercial, auto/PIP, and workers' compensation lines.
• Translating complex coding systems (CPT, ICD-10, HCPCS, DRG) into plain language for attorneys.

Skills

Medical data entry

Line-item audits

NCCI edits

Billing accuracy

Attention to detail

Education

High School Diploma or equivalent

Job description

Dane Street is seeking a Bill Review Specialist to connect clinical data with strategy, performing medical data entry and analyses using national repricing systems to review high-exposure medical claims. You will conduct line-item audits, apply payer guidelines, and translate CPT/ ICD-10/HCPCS/DRG coding for attorneys, ensuring reimbursement integrity across multiple lines of coverage.

This role supports our objective of accurate, defensible patient billing insights in a remote, collaborative