PI Medical Coding Reviewer I, CPC, RHIT, RHIA required

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Ensure accuracy in medical records requests.

• Process incoming medical records and allocate them to the correct claims.

• Assist in the audit process by generating error exception reports.

• Make audit decisions regarding claim payments for straightforward medical codes.

• Investigate and determine payment outcomes based on medical coding standards.

• Report any suspected Fraud, Waste, or Abuse to the Special Investigations Unit (SIU) upon detection.

• Identify opportunities for process enhancements and suggest system improvement ideas.

• Communicate any claims-related issues or concerns to management.

⛳️ Requirements

• An associate's degree is required.

• A minimum of 1 year of experience in medical billing and coding is preferred.

• Experience with Medicaid/Medicare is preferred.

• Familiarity with diagnosis codes and CPT coding guidelines is essential.

• Proficient with Microsoft Office Suite.

• Experience in reviewing medical records is necessary.

• A general understanding of claims payment processes is preferred.

🏝️ Benefits

• Comprehensive total rewards package.

• Bonus linked to both company and individual performance.

• Health insurance coverage.

• Retirement plan options.

• Paid time off.

• Flexible work arrangements available.