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Remote Medical Coding Reviewer

Company: VirtualVocations
Location: Orange
Posted on: February 4, 2025

Job Description:

A company is looking for a Medical Coding Reviewer I to perform clinical and coding medical claim reviews for compliance.
Key Responsibilities

Analyze provider billing practices using code auditing software and regulatory codes
Review medical records to ensure consistency with billing for appeals and adjustments
Identify potential billing errors, abuse, and opportunities for prepayment reviews

Required Qualifications

Associate's degree in a related field or equivalent experience
Coding certification required
2+ years of experience in medical billing & coding or related fields
Experience in provider communication and education preferred
Licensure or certification as LPN, RN, CPC, CCS, or similar is required

Keywords: VirtualVocations, West Covina , Remote Medical Coding Reviewer, Healthcare , Orange, California

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