What are the responsibilities and job description for the Certified Professional Coder (Remote- Anywhere in US) position at MEDLOGIX, LLC?
Job Description
Job Description
Certified Professional Coder / Bill Review Expert
Location :
Remote- Anywhere in US
Responsibilities :
- Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds
- Interpret medical documentation ensure accuracy of billed services IE : CPT, HCPCs codes
- Assign proper CPT, HCPCs codes based on the review outcome
- Review CPT codes for unbundled services
- Review billed modifiers for accuracy of use
- Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement
- Interpret fee schedule guidelines and apply those guidelines in daily reviews
- Document review outcomes for customers in a professional easy to understand manner
- Use various resources, IE : eBooks, 3M software to support reviews
- Participate in conference calls as needed with customers and / or attorneys
- Participate in virtual and in-person testimony or trial when needed
- Assist with various special projects and other duties as assigned
Qualifications and Experience :
3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
