Remote Medical Coding Reviewer

A company is looking for a Medical Coding Reviewer I to perform clinical and coding medical claim reviews. Key Responsibilities Analyze provider billing practices using code auditing software and regulatory guidelines Review medical records to ensure billing consistency for appeals and adjustments Collaborate with the Medical Director to validate decisions and identify policy opportunities Required Qualifications Associate's degree in a related field or equivalent experience Coding certification (CPC, CCS, etc.) and 2+ years of experience in medical billing & coding Experience in coding / data analysis, accounting / business, or clinical experience as RN / LPN Preferred experience in provider communication and education Licenses such as LPN, RN, or other relevant certifications are required