No Surprises Act IDRE Billing Specialist

A company is looking for a No Surprises Act IDRE Billing & Coding Specialist with experience in Independent Dispute Resolution cases under the No Surprises Act. Key Responsibilities Evaluate coding appropriateness and ensure compliance with program standards Match medical records to codes and obtain necessary documentation when mismatched Provide clinical oversight and quality assurance for complex cases Required Qualifications CPC, APCC, or DRG coder certification is required Payment integrity or professional bill review experience is strongly preferred Experience in a medical office or healthcare background is necessary Remote work experience is preferred Out-of-network bill review experience is a plus

Apr 15, 2025 - 20:52

A company is looking for a No Surprises Act IDRE Billing & Coding Specialist with experience in Independent Dispute Resolution cases under the No Surprises Act. Key Responsibilities Evaluate coding appropriateness and ensure compliance with program standards Match medical records to codes and obtain necessary documentation when mismatched Provide clinical oversight and quality assurance for complex cases Required Qualifications CPC, APCC, or DRG coder certification is required Payment integrity or professional bill review experience is strongly preferred Experience in a medical office or healthcare background is necessary Remote work experience is preferred Out-of-network bill review experience is a plus