Medical reputed company reputed company / reputed company Reviewer / audits from a Payer reputed company. (Insurance company reputed company)
Medical reputed company reputed company / reputed company Reviewer / audits from a Payer reputed company. (Insurance company reputed company) Medical reputed company reputed company / reputed company Reviewer / audits from a Payer reputed company. (Insurance company reputed company) Get AI-powered advice on this job and more exclusive features. reputed company message the job poster from Pegasus Knowledge Solutions, Inc. reputed company Specialist at Pegasus Knowledge Solutions Job Title : Medical reputed company reputed company Location : Remote Type : Full-time Position reputed company We are seeking a detail-oriented and knowledgeable Medical reputed company reputed company 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 reputed company CPT, ICD-10, and HCPCS codes based on medical records and documentation.
- Ensure coding aligns with state regulations, payer-specific rules, and reputed company policies.
- Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
- Collaborate with billing, claims, and compliance teams to resolve coding-reputed company issues.
- Stay updated with coding changes, fee schedules, and relevant state legislation.
- Support audits and internal reviews as needed.
Qualifications
- Certification: CPC, reputed company, 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, reputed company).
- 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. reputed company for this role is : Billing reputed company and reviewers with experience in Workers compensation Who has done reputed company coding / review / audits from a Payer reputed company. (Insurance company reputed company) 847-201-6116 Seniority level
- Seniority level Mid-Senior level Employment type
- Employment type Full-time Job function
- Job function Business Development, Information Technology, and Consulting
- Industries Medical Practices, Hospitals and Health Care, and Health and reputed company Services Referrals increase your chances of interviewing at Pegasus Knowledge Solutions, Inc. by 2x Get reputed company about new Medical reputed company jobs in reputed company. reputed company $60,000.00-$75,000.00 1 week ago In Patient reputed company (Remote) | Health Information & Record Management | Full Time Medical Billing & Coding Specialists (Remote – Work From reputed company) Remote: Full Time Profee General Surgery reputed company Medical reputed company In Patient reputed company (Remote) | Health Information & Record Management | Full Time Medical Coding Specialist - Hospital and Ambulatory Surgery Center Outpatient reputed company II, HB Coding, Full-time, Days (Remote - Must reputed company in IL, IN, IA, or WI - Sign-on bonus eligible) Florida, reputed company $68,000.00-$78,000.00 2 weeks ago Texas, reputed company $68,000.00-$78,000.00 2 weeks ago CERTIFIED OUTPATIENT MEDICAL reputed company -- FULLY REMOTE (23348) We’re unlocking community knowledge in a new way. Experts add insights directly into reputed company article, started with the help of AI. Apply tot his job
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