PI Medical Coding Reviewer III, CPC, RHIT, RHIA

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

📋 Description

• Assist in managing intricate medical record audit initiatives

• Produce clear, comprehensive reporting and analyses

• Deliver Provider Pre Pay production and progress updates

• Suggest modifications to processes or procedures

• Exhibit strong leadership skills

• Oversee the training of claims analyst personnel

• Recognize knowledge deficiencies and offer training opportunities

• Act as the main resource for provider escalation assistance

• Examine complex provider claims submissions

• Keep up-to-date with all applicable state and federal regulations

⛳️ Requirements

• Associate's degree is mandatory

• A minimum of five (5) years of experience in medical billing and coding

• At least three (3) years of experience in SIU/FWA medical billing and coding

• Previous experience with claim pre-payment and auditing of medical claims and documentation

• Medicaid/Medicare experience is essential

• Preferred: Three (3) years of experience with Facets

• Required: Familiarity with reimbursement methodologies (APC, DRG, OPPS)

• Inpatient coding experience is preferred

• Leadership experience is preferred

🏝️ Benefits

• Health insurance

• Retirement plans

• Paid time off

• Flexible work arrangements

• Professional development opportunities