Remote Medicare Claims Reviewer & Coder (Part-Time)

Virtual Vocations Inc; United States; À distance; USD 30 000 - 47 000; Temps partiel

Résumé du poste

Virtual Vocations Inc. seeks a part-time Medical Reviewer, Coder to perform automated and complex reviews of Medicare Fee-for-Service claims from a remote setting.

The role focuses on ensuring compliance with Medicare policies and documenting findings accurately. Key responsibilities include reviewing claims for payment accuracy, assisting in dispute resolution, and collaborating with stakeholders to improve review processes.

Qualifications

• 5+ years of direct medical coding or billing experience.
• 3+ years in a productivity-based claims or case management environment.
• 3+ years of remote work experience with various technology systems.
• 3+ years of Medicare Fee-For-Service experience in a coding role or program.

Responsabilités

• Conduct automated and complex reviews of Medicare claims to assess payment accuracy and compliance with policies.
• Participate in dispute resolution by re-examining claims and providing necessary documentation.
• Collaborate with key personnel to ensure consistency and continuous improvement in review processes.

Connaissances

Medical coding

Claims processing

Remote work

Medicare coding

Formation

AAPC or AHIMA certification

Description du poste

Virtual Vocations Inc. seeks a part-time Medical Reviewer, Coder to perform automated and complex reviews of Medicare Fee-for-Service claims from a remote setting.

The role focuses on ensuring compliance with Medicare policies and documenting findings accurately. Key responsibilities include reviewing claims for payment accuracy, assisting in dispute resolution, and collaborating with stakeholders to improve review processes.