Senior Medical Bill Examiner (Certified Professional Coder) responsible for the accurate review, analysis, and adjudication of complex medical bills.
This role applies advanced knowledge of medical billing practices, coding standards, fee schedules, and regulatory requirements to ensure compliance, accuracy, and cost containment. The position focuses on medical bill review from a coding perspective and investigation of medical invoices to determine reimbursement based on applicable workers' compensation statutes and regulations.
Key responsibilities include:
- Analyze bills for proper assignment of detailed medical coding information
- Interpret workers' compensation rules for repricing
- Enter and correct medical bill data
- Ensure accurate billing in accordance with American Medical Association standards
- Review medical documentation to support billing decisions
- Discuss coding issues with medical providers
- Handle complex or disputed billing scenarios
- Break down complex processes and rules into clear, manageable explanations
The ideal candidate will have:
- Certified coding designation required
- Certified Professional Coder (CPC) credential
- Medical terminology or coding coursework or experience preferred
- Minimum 2 years of experience in medical bill processing or coding preferred
- Strong knowledge of CPT, HCPCS, ICD, fee schedules, and billing regulations
- Excellent data entry skills
- Demonstrated analytical, investigative, and critical-thinking skills
- Ability to work independently while meeting accuracy and turnaround expectations
- High school diploma or equivalent required
- Strong attention to detail and documentation discipline
- Effective written and verbal communication skills
- Ability to manage ambiguity, prioritize work, and multitask
Benefits and perks include:
- Medical, dental, vision, life, and disability insurance effective day 1
- 25 days of paid time off in the first full year
- Paid holidays
- Tuition reimbursement up to $5,250 for undergraduate programs and $6,000 for graduate programs
- Student loan paydown program after 6 months of service, with a $125 monthly employer contribution up to $10,000 lifetime maximum
- Short-term or annual bonuses may be available
- Long-term incentives and on-the-spot recognition may be available
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$49,920 - $74,880
Remote work allowed
Yes
Posted
3 weeks ago