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Medical Bill Coder Payer side- Fulltime-Remote

Remote, USA Full-time Posted 2025-11-03
Job Title : Medical Bill Coder Location : Remote Type : Full-time Position Summary We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk. Key Responsibilities • Review incoming medical bills for completeness and accuracy. • Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation. • Ensure coding aligns with state regulations, payer-specific rules, • Identify and correct coding discrepancies, unbundled codes, or documentation gaps. • Collaborate with billing, claims, and compliance teams to resolve coding-related issues. • Stay updated with coding changes, fee schedules, and relevant state legislation. • Support audits and internal reviews as needed. Qualifications • Certification: CPC, CCS, or equivalent required. • Minimum 3-5 years of experience in medical coding, preferably in a workers compensation or physical medicine environment. • Strong understanding of state-specific billing guidelines and medical coding compliance. • Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity). • High attention to detail, strong analytical skills, and ability to meet deadlines. Preferred Skills • Experience working with workers compensation claims. • Familiarity with NCCI edits and payer-specific rules. Apply tot his job Apply To this Job

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