Certified Professional Coder, Bill Review Expert (Remote)

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