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State Licensed Medical Coding Reviewer

7/10/2025

Remote

Job Summary

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities
  • Perform clinical/coding medical claim reviews to ensure compliance with coding practices
  • Analyze provider billing practices and review medical records for consistency with billing
  • Identify potential billing errors, abuse, and fraud while maintaining appropriate records
Required Qualifications
  • Associate's degree in a related field or equivalent experience
  • Coding certification and 2+ years of experience in medical billing & coding or related fields
  • Experience in provider communication and education preferred
  • Licensure as LPN, RN, CPC, CPC-H, CPC-P, CPC-A, CCS, CCS-P, RHIT, RHIA, CPMA, or Paramedic

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