Seasonal Medical Coder

Virtual Vocations Inc; United States; Remote; USD 30,000 - 47,000; Part time

Job summary

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.

Responsibilities

• 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.

Skills

Medical coding

Claims processing

Remote work

Medicare coding

Education

AAPC or AHIMA certification

Job description

To support a seasonal project, the part-time hourly Medical Reviewer, Coder will perform automated and complex reviews of Medicare Fee-for-Service claims, ensuring compliance with Medicare policies and documenting findings accurately in a remote environment.

Key responsibilities

• 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

Required qualifications

• 5+ years of direct medical coding or billing experience in a healthcare environment
• 3+ years of experience 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
• Certification from an accredited association such as AAPC or AHIMA is required