Job Summary
A company is looking for a PrePay Coder, CPC, remote.
Key Responsibilities
- Analyze high risk and/or high dollar claims to ensure accurate payment prior to processing
- Review medical documentation to validate billing appropriateness and compliance with policies
- Document identified issues and participate in special projects to improve claims processing
Required Qualifications, Training, and Education
- 4+ years of experience in medical billing and coding
- Certified Professional Coding (CPC) certification is mandatory
- In-depth knowledge of medical terminology and coding systems (ICD-10, CPT, HCPCS)
- Bachelor's Degree or equivalent experience is preferred
- Strong knowledge of Evaluation and Management (E&M) Coding guidelines
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