We specializes in Claim Mitigation and Claim Resolution services for the Property and Casualty Industry.

Position Overview

You are someone who is an independent worker and who holds themselves to high standards. The best candidate is organized, able to prioritize tasks, and lets nothing slip through the cracks. Has the ability to meet deadlines and a strong attention to detail. You will also review bills and corresponding medical notes to determine the point of stabilization on DWI cases, incidents of syncope, heart attack, stroke and other medical conditions that are not accident related.

Job Duties and Responsibilities

· Reviewing medical bills and auditing those bills for validity and accuracy

· Comply with various fee schedules

· Ensure coding and charges are supported by appropriate clinical documentation

· Write legally sound affidavits to be submitted for arbitration and litigation purposes

· May have to testify in relation to an audit or affidavit they have written.

Qualifications:

· Certified Professional Coder (CPC) Certification

· Registered Nurse (RN) or Licensed Practical Nurse (LPN)

· Certification in Medical Coding

· Comprehensive Knowledge of International Classification of Diseases (ICD-10) 2 years’ experience (Preferred)

· Experience with Workers Compensation, No-Fault Insurance Medical Bills, Diagnosis Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs)

Education & Experience:

· Certified Professional Coder (CPC) Certification (5 years experience )

· Certification in Medical Coding

· Comprehensive Knowledge of International Classification of Diseases (ICD-10)

· Experience with Workers Compensation, No-Fault Insurance Medical Bills, Diagnosis Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs)

· LPN/RN License Required

Job Type: Full-time

Pay: $75,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• In-person
• Office

Experience:

• Medicare, federal regulations, compliance oversight: 3 years (Preferred)
• Medical Coding: 3 years (Required)
• Certified Professional Coder: 5 years (Required)
• Workers Comp, No-Fault Insurance Medical Bills: 3 years (Required)
• ICD-10: 5 years (Required)

License/Certification:

• LPN or RN License (Required)

Work Location: In person