Senior Medical Bill Examiner

Responsibilities

• Analyze bills for proper assignment of detailed medical coding information
• Interpret workers' compensation rules for repricing
• Enter and correct medical bill data
• Review medical documentation to support billing
• Discuss coding issues with medical providers
• Handle complex or disputed billing scenarios
• Break down complex processes and rules into clear explanations

Minimum Qualifications

• Certified Coding Designation required
• Certified Professional Coder (CPC) required
• Medical terminology or coding coursework or experience preferred
• Minimum 2 years of experience in medical bill processing or coding preferred
• Strong working knowledge of CPT, HCPCS, ICD, fee schedules, and billing regulations
• Excellent data entry skills
• Demonstrated analytical, investigative, and critical-thinking skills
• Ability to manage workload independently while meeting accuracy and turnaround expectations
• High school diploma or equivalent required

Preferred Skills

• High attention to detail
• Strong documentation discipline
• Ability to work with ambiguity
• Customer focus and composure
• Active listening, time management, priority setting, and multitasking
• Effective written and verbal communication skills

Benefits

• Medical, dental, vision, life, and disability insurance effective day 1
• 25 days paid time off in the first full year
• Paid holidays
• Tuition reimbursement up to $5,250 for undergraduate and $6,000 for graduate programs
• Student loan paydown program after 6 months of service
• Monthly supplemental student loan contribution of $125, up to a lifetime maximum of $10,000
• Short-term or annual bonuses may be available
• Long-term incentives and on-the-spot recognition may be available