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Certified Professional Coder/Bill Review Expert (Remote)

Claims TheoryHamilton, NJ

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Job Description

Certified Professional Coder / Bill Review Expert

Responsibilities:

Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds

Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned

Assign proper codes as needed based on review outcome

Use various resources, IE: eBooks, 3M software to support reviews

Interpret fee schedule guidelines and apply those guidelines in daily reviews

Document review outcomes for customer in a professional easy to understand manner

Participate in conference calls as needed with customer and/or attorneys

Participate in virtual and in person testimony or trial when needed

Assist with various special projects and other duties as assigned

Qualifications and Experience:

3-5 years of medical billing experience specifically NJ / NY PIP fee schedules

Strong communicate skills, must be able to explain outcome of review, both written and verbally

Extensive knowledge of coding /documentation requirements

Thorough knowledge of CPT, HCPCs, ICD-10

CPC/AAPC certification required

Ability to multi-task

Ability to meet critical timelines

Willingness to testify on a as needed bases on behalf of customer to coding outcomes

Willingness to travel for testimony as required

Computer experience

Excel experience beyond beginner

Independent worker

Ability to manage time when working remotely

Must be able to travel to Hamilton NJ office as needed

Ability to effectively communicate with team

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Submit 10x as many applications with less effort than one manual application.

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