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
Comments