Judge Group

Medical Coders – Senior

ID: 626007

Type: Contract

Location: REMOTE

Salary: Open

Judge Healthcare’s client is currently seeking a Medical Coders for a Remote Contract Opportunity!!!!!

The client is actively seeking CIC – Certified Inpatient Coders and/or COC- Certified Outpatient Coders. This coder should haves previous experience with hospital coding and DRGs.
This job will have the following responsibilities:

  • 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 M

Qualifications & Requirements:

  • CIC or COC certification
  • 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.