Remote Medical Coder, Billing Coder

Summary

Join Dane Street's team as a highly motivated Coder, bill reviewer, or payment integrity reviewer to apply your clinical knowledge and skills in reviewing reports accompanying medical records.

Requirements

• Must have a CPC, APCC, or DRG coder certification
• Payment integrity or professional bill review experience is strongly preferred
• Out-of-network bill review experience is a plus
• Experience working in a remote environment is preferred
• Experience in a medical office or health care background
• Must work with a sense of urgency and meet deadlines
• Must be self-motivated, with a strong drive for performance excellence
• Excellent written and verbal communication skills are required
• Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus)
• Attention to detail REQUIRED

Responsibilities

• Evaluates the appropriateness of codes and determine whether they meet all established program standards
• Ensures that the medical records are matched appropriately to the codes and if not, obtains them
• Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met
• Evaluates claims for conflict of interest and criteria appropriateness
• Works within established timeframes set by program parameters
• Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases
• Provides clinical oversight to cases that are complex and need additional review prior to return to the client
• Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues

Benefits

• Paid Time Off
• An excellent benefits package