Certified Medical Coder

Certified Professional Coder / Bill Review Expert

Responsibilities:

• Review medical bills related to MVA injuries sustained for NJ and/or NY covered insureds
• Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned
• Assign proper codes as needed based on review outcome
• Use various resources, e.g., eBooks, 3M software to support reviews
• Interpret fee schedule guidelines and apply those guidelines in daily reviews
• Document review outcomes for customer in a professional, easy to understand manner
• Participate in conference calls as needed with customer and/or attorneys
• Assist with various special projects and other duties as assigned

Qualifications and Experience:

• 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules
• Strong communication skills, must be able to explain outcome of review, both written and verbally
• Extensive knowledge of coding/documentation requirements
• Thorough knowledge of CPT, HCPCS, ICD-10
• CPC/AAPC certification required
• Ability to multi-task and meet critical timelines
• Computer experience
• Excel experience beyond beginner
• Independent worker
• Ability to manage time when working remotely
• Must be able to travel to Hamilton NJ office as needed
• Ability to effectively communicate with team