Certified Medical Coding Reviewer
A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification. Key Responsibilities Generate reports and analyses to track performance related to Pre-Pay and Post-Paid Processes Mentor and train claims analysts on coding and documentation standards Analyze complex provider claims submissions using coding rules and guidelines Required Qualifications Associate's degree or equivalent relevant work experience Minimum of five years of medical billing and coding experience, including three years in SIU/FWA Prior experience with claim pre-payment and medical claim auditing Medicaid/Medicare experience is required Certified Medical Coder (CPC, RHIT, or RHIA) is required at the time of hire
A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification.
Key Responsibilities
Generate reports and analyses to track performance related to Pre-Pay and Post-Paid Processes
Mentor and train claims analysts on coding and documentation standards
Analyze complex provider claims submissions using coding rules and guidelines
Required Qualifications
Associate's degree or equivalent relevant work experience
Minimum of five years of medical billing and coding experience, including three years in SIU/FWA
Prior experience with claim pre-payment and medical claim auditing
Medicaid/Medicare experience is required
Certified Medical Coder (CPC, RHIT, or RHIA) is required at the time of hire
