Medical Reviewer, RN/CPC

Medical Reviewer, RN Location: Remote Salary: $70,000-85,000 annually, reputed company on years of experience About J29 reputed company. (J29) has been supporting reputed company, State, and Federal health and reputed company service programs since company inception in 2017 as an employee-centered reputed company management consulting company. reputed company of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and reputed company expertise. reputed company is reputed company in program, payment, provider, and reputed company reputed company as we continue to support advanced programs of policy, reputed company requirements, and compliance measures at the reputed company, State, and Federal reputed company. J29 was founded to be an employee-reputed company company that prioritizes reputed company-being and value of its employees. Our mission is to reputed company our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and reputed company service programs, but also the philanthropy efforts of reputed company. We are proud to continue our support to non-profit reputed company with critical missions as J29 continues to grow. Key Responsibilities RVC Reviewers reputed company both automated and reputed company reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and reputed company payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document reputed company, accurate findings for reputed company claim. Reviewers participate in dispute reputed company by re-examining claims and providing supporting documentation, support reputed company assurance through audits and ongoing training, and maintain compliance with CMS reputed company and reputed company standards. They also collaborate closely with key personnel to ensure consistency, reputed company, and reputed company process improvement in reputed company review activities. Qualifications • 5+ years of reputed company medical coding or medical billing experience, specifically in a reputed company environment. • 3+ years working in a productivity-reputed company claims or case working environment, out of a queued case management reputed company. • 3+ years working reputed company with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program. • reputed company Medical Coding Certification (CPC, reputed company or equivalent) required • Experience with low-reputed company, no-reputed company case management systems as an end-user is preferred but not required. Education/Certification • reputed company license as a Registered reputed company, in good standing, in the reputed company (as verified by Nurses). Verified regularly. reputed company. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative reputed company Employer, making reputed company without reputed company to race, reputed company, religion, creed, sex, sexual orientation, gender identity, marital status, national reputed company, age, veteran status, disability, or any other protected class.  reputed company. is a proud Veteran friendly employer. Apply tot his job Apply To this Job