Medical & Billing Coder - Remote | WFH Job at Get It Recruit - Healthcare, West Palm Beach, FL

VGJsaCtZL3ZJUlF4NldvdHhDQmhyaXVHemc9PQ==
  • Get It Recruit - Healthcare
  • West Palm Beach, FL

Job Description

Are you a skilled medical coder or bill reviewer with a passion for accuracy and efficiency? We are looking for motivated candidates to join our team. Enjoy a dynamic work environment, competitive compensation, and ample opportunities for professional growth.

Job Summary:

As a part of our expanding group health program, you will leverage your clinical knowledge to review reports alongside medical records, ensuring accuracy in medical billing information and coding. Collaboration with fellow reviewers and office teams will be key to ensuring clarity and completeness of information within client deadlines.

Core Responsibilities:

Evaluate the appropriateness of medical codes and ensure adherence to program standards.
Verify accurate matching of medical records with assigned codes, obtaining additional records as needed.
Apply policy guidelines and healthcare terminology to determine compliance.
Assess claims for conflicts of interest and criteria appropriateness.
Adhere to program timelines and deliverables.
Provide exceptional customer service, collaborating closely with clients to ensure accurate and timely case resolution.
Offer clinical oversight for complex cases requiring additional review before client submission.
Serve as an additional layer of quality assurance and clinical expertise for cases with identified issues.
Requirements:

Education & Experience:

Certification as a CPC, APCC, or DRG coder required.
Prior experience in payment integrity or professional bill review strongly preferred.
Experience with out-of-network bill review is advantageous.
Remote work experience preferred.
Background in medical office or healthcare settings beneficial.
Skills:

Strong sense of urgency and commitment to meeting deadlines.
Self-motivated with a dedication to performance excellence.
Excellent written and verbal communication skills.
Proficiency in various computer programs; experience with Google Suite (Chrome, Gmail, Docs, Sheets) a plus.
Exceptional attention to detail required.
Benefits:

We offer generous Paid Time Off, a comprehensive benefits package, and competitive salary. Join us if you excel in a fast-paced environment and are driven by the opportunity to make a meaningful impact on others' lives.

About Us:

High-performance company ranked in the Inc. 500 list. We process over 200,000 insurance claims annually for leading national and regional carriers and organizations. Our services include Independent Medical Exams and Peer Review programs aimed at facilitating appropriate medical determinations in claims management.
Employment Type: Full-Time
Salary: $ 18.00 24.00 Per Hour

Job Tags

Hourly pay, Full time, Work experience placement,

Similar Jobs

Atwal Eye Care

Clinical Research Coordinator Job at Atwal Eye Care

 ...Job Description Job Description We are looking for a clinical research coordinator whose responsibilities would include all aspects of a clinical study. Good communication skills, professional demeanor, a strong background in healthcare, interpersonal skills,... 

CUES TRAINING FACILITY

Chief Member Experience Officer Job at CUES TRAINING FACILITY

 ...functional areas Strong analytical skills to observe and analyze data for innovative solutions Demonstrated decision-making...  ...planning, leadership development programs, executive coaching, board governance and renewal, and executive search. Please learn more about us... 

gpac

Project Manager/Estimator Job at gpac

 ...PREMIER candidates to fill their open position of Project Manager/Estimator . We are partnered in helping a growing and well-established...  ...School Diploma- GED/Associates/ Bachelor's degree preferred Xactimate, DASH, MICA experience preferred IICRC qualifications... 

Situation Group

Graphic & Motion Designer Job at Situation Group

 ...crafts award-winning work for the worlds leading entertainment, education and mission-driven brands. The Studio seeks a designer with motion graphics experience to develop creative for Arts & Entertainment clients. This role will report to the Art Director. The selected... 

EMINENT Services

Designer, Michael Costello Job at EMINENT Services

Designer, Michael CostelloMeet the Owned Brand division of REVOLVE:REVOLVE is the next-generation fashion retailer for Millennial and Generation Z consumers. As a trusted, premium lifestyle brand and a go-to source for discovery and inspiration, REVOLVE delivers an...