Remote | Freelance
Judge Group

Remote Coder – Provider Case Appeal

ID: 630729

Type: Contract

Location: REMOTE

Salary: Open

Our client is currently seeking a Remote Medical Coder – all applications must meet the following:

Job Description:

  • Perform prepayment claims review analysis
  • Review medical records to confirm appropriate medical coding
  • Document clinical determinations in prepayment review system
  • Ensure compliance with industry standard coding guidelines and State regulatory guidelines as appropriate.
  • Review and resolve Provider Case Appeal

Must have qualifications/experience:

  • CPC certification and Associate Degree (or higher) or 3 years medical coding experience
  • An unrestricted RN or LVN or LPN license OR a current certified coder including RHIT
  • 1+ year of experience analyzing data and identifying cost saving opportunities
  • 3+ years of CPT/HCPCS/ICD-9/ICD-10 coding experience with a thorough knowledge of health insurance business, including knowledge of industry terminology and regulatory guidelines.