Remote Medical Billing & Coding Auditor (CPC/DRG)

Dane Street, LLC; Orlando (FL); Remote; USD 34,000 - 55,000; Full time

Benefits offered by this job

Supplemental income

Flexible schedule

Prepped cases & streamlined workflow

User-friendly work portal

Job summary

Dane Street is seeking coders, bill reviewers, and payment integrity reviewers to join our team. You will review medical reports to ensure correct coding and billing, and collaborate with client offices to resolve questions before delivering timely results.

The role emphasizes adherence to program standards, strong communication, and a fast-paced, remote-friendly environment with opportunities for growth within a high-performance organization.

Qualifications

• Must possess CPC, APCC, CMBS, or DRG coder certification.
• Experience in payment integrity or professional bill review is strongly preferred.
• Out-of-network bill review experience is a plus.
• Experience working in a remote environment is preferred.
• Background in a medical office or health care setting is beneficial.

Responsibilities

• Evaluates the appropriateness of codes and whether they meet program standards.
• Ensures medical records match codes and obtains records if needed.
• Reads and applies policy guidelines and healthcare terminology to determine criteria.
• Evaluates claims for conflict of interest and criterion appropriateness.
• Adheres to program timelines and schedules.

Skills

Deadline-driven

Self-motivated

Clear communication

Google Workspace proficiency

Attention to detail

Education

CPC/APCC/CMBS/DRG coder certification

Job description

Dane Street is seeking coders, bill reviewers, and payment integrity reviewers to join our team. You will review medical reports to ensure correct coding and billing, and collaborate with client offices to resolve questions before delivering timely results.

The role emphasizes adherence to program standards, strong communication, and a fast-paced, remote-friendly environment with opportunities for growth within a high-performance organization.