Medical Records Inpatient Coder - Remote

To support medical record audit activities, the full-time Certified Medical Coding Reviewer will review claims for pre-payment and post-payment functions, research and analyze claims, and collaborate with internal departments, all while working remotely.

Key responsibilities:

Make payment decisions on a variety of claims based on medical coding guidelines and policies

Research and analyze moderately complicated claims, ensuring adherence to departmental standards

Identify and report suspected Fraud, Waste, or Abuse, and implement process improvements

Required qualifications:

Associate's degree required; equivalent work experience may be accepted in lieu of education

Three years of medical billing coding experience required

Certified Medical Coder (CPC, RHIT, or RHIA) required at time of hire

Medicaid/Medicare experience preferred

Clinical background with understanding of claims payment preferred