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Certified Professional Coder
Certified Professional CoderClaims Theory • Buffalo, NY, US
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Certified Professional Coder

Certified Professional Coder

Claims Theory • Buffalo, NY, US
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  • [job_card.full_time]
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Job Description

Certified Professional Coder / Bill Review Expert

Responsibilities :

  • Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds
  • Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned
  • Assign proper codes as needed based on review outcome
  • Use various resources, IE : eBooks, 3M software to support reviews
  • Interpret fee schedule guidelines and apply those guidelines in daily reviews
  • Document review outcomes for customer in a professional easy to understand manner
  • Participate in conference calls as needed with customer and / or attorneys
  • Assist with various special projects and other duties as assigned

Qualifications and Experience :

  • 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules
  • Strong communicate skills, must be able to explain outcome of review, both written and verbally
  • Extensive knowledge of coding / documentation requirements
  • Thorough knowledge of CPT, HCPCs, ICD-10
  • CPC / AAPC certification required
  • Ability to multi-task
  • Ability to meet critical timelines
  • Computer experience
  • Excel experience beyond beginner
  • Independent worker
  • Ability to manage time when working remotely
  • Must be able to travel to Hamilton NJ office as needed
  • Ability to effectively communicate with team
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