Remote Medical Coding Reviewer
A company is looking for a Medical Coding Reviewer I.
Key Responsibilities
• Perform clinical/coding medical claim review to ensure compliance with coding practices
• Analyze provider billing practices and review medical records for consistency with billing
• Identify potential billing errors, abuse, and fraud while maintaining appropriate records
Required Qualifications, Training, and Education
• Associate's degree in a related field or equivalent experience
• Coding certification and 2+ years of experience in medical billing & coding or related fields
• Experience in provider communication and education preferred
• Licensure as LPN, RN, or relevant coding certifications (e.g., CPC, CCS)
• 2+ years of related clinical experience
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