Remote | Freelance
Remote Coder – Provider Case Appeal
Our client is currently seeking a Remote Medical Coder – all applications must meet the following:
- 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.