Certified Professional Coder (Remote) - PIP Experience

Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: • Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds • Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes • Assign proper CPT, HCPCs codes based on the review outcome • Review CPT codes for unbundled services • Review billed modifiers for accuracy of use • Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement • Interpret fee schedule guidelines and apply those guidelines in daily reviews • Document review outcomes for customers in a professional easy to understand manner • Use various resources, IE: eBooks, 3M software to support reviews • Participate in conference calls as needed with customers and/or attorneys • Participate in virtual and in-person testimony or trial when needed • Assist with various special projects and other duties as assigned Qualifications and Experience: • 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules • Strong communication skills, must be able to explain the outcome of the review, both written and verbally • Extensive knowledge of coding /documentation requirements • Thorough knowledge of CPT, HCPCs, ICD-10 • Must have active CPC certification through AAPC • Ability to multi-task • Ability to meet critical timelines • Willingness to testify on a needed basis on behalf of customer to coding outcomes • Willingness to travel for testimony as required • 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 the team Apply tot his job Apply To this Job