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CPC Certified PrePay Coder

7/10/2025

No location specified

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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