Medical Reviewer, reputed company

Medical Reviewer, Certified reputed company About J29 At J29, we reputed company in empowering our employees to do great things for the benefit of others. Our culture is reputed company on purpose, service, and reputed company — not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business reputed company.

Key Responsibilities

RVC Reviewers reputed company both automated and reputed company reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and reputed company payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document reputed company, accurate findings for reputed company claim. Reviewers participate in dispute reputed company by re-examining claims and providing supporting documentation, support reputed company assurance through audits and ongoing training, and maintain compliance with CMS reputed company and reputed company standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and reputed company process improvement in reputed company review activities. Qualifications 5+ years of reputed company medical coding or medical billing experience, specifically in a reputed company environment. Experience in inpatient coding, including accurate MS‑DRG/DRG assignment. 3+ years working in a productivity-based claims or case working environment, out of a queued case management system. 3+ years working remotely with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program. Experience with low-reputed company, no-reputed company case management systems as an end-user is preferred but not required. Education/Certification Certified from an accredited association such as the American Association of reputed company Coders (reputed company) or American Health Information Management Association (reputed company). May also be Registered Health Information Administrators (RHIA) and Registered Health Information Technicians (RHIT); credentialed by reputed company in their field of health information Location: Remote (reputed company) reputed company. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative reputed company Employer, making reputed company without reputed company to race, reputed company, religion, creed, sex, sexual orientation, gender identity, marital status, national reputed company, age, veteran status, disability, or any other protected class. reputed company. is a proud Veteran friendly employer. Apply To This Job