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Description
The Company:
IMS Legal Strategies is one of the fastest growing leading medical expert sourcing companies in the country having serviced 15,000 legal cases. We offer a full-service approach for medical expert recruitment, attorney/expert communication, and project coordination with dedicated case managers. We provide honest medical experts for our clients allowing them to focus on case strategy. We have over 300 medical experts on our team covering more than 75 different specialties and sub-specialties.
The Position:
The Billing and Coding Specialist must be a self-starter who is able to work independently and as a collaborative team member maintaining their own portfolio of cases. The position requires complex bill reviews to include professional medical services, surgery, inpatient and outpatient services. The Billing & Coding Specialist’s role is to review assigned physician and facility medical coding and billing records to determine if the billed charges are within the usual, customary, and reasonable (UCR) amount, based on cost comparisons in the geographic area, identify medical coding errors, if any, and communicate their review findings in written format (a counter affidavit or cost report). The successful candidate will be motivated, creative, analytical, detail oriented and efficient, and will have superior communication skills, presentation skills, and organizational skills.
Essential Duties and Responsibilities:
Responsible for reviewing and auditing medical codes, procedure codes and facility codes, utilizing industry standard database information and comparing the information to billings submitted by opposing counsel in litigation. If significant differences exist, prepare, and submit a Controverting Affidavit or Cost Report to Counsel to be submitted to the Court or opposing counsel. Must be willing to be deposed by opposing counsel and must be willing to travel to the appropriate court/legal jurisdiction for deposition and/or Trial.
Requirements
Primary responsibilities:
Full Time
$52k-70k (estimate)
02/23/2024
05/19/2024
The following is the career advancement route for Billing & Coding Specialist positions, which can be used as a reference in future career path planning. As a Billing & Coding Specialist, it can be promoted into senior positions as a Billing Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing & Coding Specialist. You can explore the career advancement for a Billing & Coding Specialist below and select your interested title to get hiring information.