A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office or healthcare background. This position offers robust supplemental income potential and flexible scheduling to align with your own availability while ensuring high-quality service to clients.
Qualifications
Must have relevant certification in coding.
Experience in payment integrity or professional bill review preferred.
Working knowledge in a medical office or health care setting.
Responsibilities
Evaluate coding appropriateness and client case accuracy.
Ensure timely reporting and clear communication with clients.
Provide clinical oversight for complex cases requiring additional reviews.
Skills
Attention to detail
Excellent written and verbal communication
Self-motivated
Proficiency in computer programs
Ability to meet deadlines
Education
CPC, APCC, CMBS, or DRG coder certification
Tools
Google Chrome
Gmail
Google Docs
Google Sheets
Job description
A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office or healthcare background. This position offers robust supplemental income potential and flexible scheduling to align with your own availability while ensuring high-quality service to clients.