Remote Medical Coding Reviewer

A company is looking for a Medical Coding Reviewer I.

Key Responsibilities

Perform clinical / coding medical claim review to ensure compliance with coding practices

Analyze provider billing practices and review medical records for consistency with billing

Identify potential billing errors, abuse, and fraud while maintaining appropriate records

Required Qualifications, Training, and Education

Associate's degree in a related field or equivalent experience

Coding certification and 2+ years of experience in medical billing & coding or related fields

Experience in provider communication and education preferred

Licensure as LPN, RN, or relevant coding certifications (e.g., CPC, CCS)

2+ years of related clinical experience