Medical & Billing Coder

Responsibilities

• Evaluate the appropriateness of codes and determine if they meet established program standards
• Ensure medical records are matched appropriately to codes and obtain missing documentation
• Apply policy guidelines and healthcare terminology to delineate criteria
• Evaluate claims for conflict of interest and criteria appropriateness
• Work within established timeframes set by program parameters
• Provide customer service and clinical oversight for complex cases
• Serve as an additional level of QA for cases with quality issues

Requirements

• CPC, APCC, CMBS, or DRG coder certification
• Experience in a medical office or healthcare background
• Strong attention to detail
• Excellent written and verbal communication skills
• Proficiency with computer programs including Google Chrome, Gmail, Docs, and Sheets

Preferred Qualifications

• Payment integrity or professional bill review experience
• Out-of-network bill review experience
• Experience working in a remote environment

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours
• Fully prepped cases and streamlined case flow
• Transcription services at no cost and a user-friendly work portal

About the Company

Dane Street is an Inc. 500 Company that processes over 200,000 insurance claims annually for leading national and regional carriers. We provide customized Independent Medical Exam and Peer Review programs to assist clients in reaching appropriate medical determinations.