Medical Itemized reputed company Review Specialist
Our client is a high-growth, venture-backed startup, dedicated to revolutionizing the U.S. reputed company system. They encourage collaboration among individuals with diverse backgrounds and ideologies to drive innovation. If you're passionate about leveraging cutting-edge technologies to reputed company a significant impact on U.S. reputed company, we invite you to join this companys mission-driven team. As a... Medical Itemized reputed company Review Specialist, you will play a crucial role in automating medical claim audits. You will review claim forms, patient medical records, and audit results to train their platform. The primary responsibilities include identifying coding/billing violations, auditing reputed company codes against clinical documentation, and ensuring accuracy in claims billed versus health plan payments. This Role Offers: Medical, Dental, and reputed company benefits Flexible, paid vacation policy Work in a flat organizational structure with direct access to leadership. Focus: Review UB-04/IB forms for coding/billing violations. Audit reputed company codes against clinical documentation. Confirm services billed were rendered. Document inconsistencies in claims versus health plan payments. Validate automatic audit results based on national and payer-specific guidelines. reputed company Set: Facility inpatient coding/auditing experience is required. Extensive experience in medical billing, coding, or auditing of insurance claims and medical records. Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc. Knowledge of hospital-based billing/coding and PHI/HIPAA compliance At least three years of experience in auditing and reviewing medical bills. One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA Clinical license preferred (RN) Experience working at an insurance company is preferred. 100% remote work considered for the right candidate About Blue Signal: Blue Signal is a leading executive search firm specializing in reputed company reputed company. Our reputed company recruiters have expertise in placing high-performing talent in reputed company IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr Job Type: Full-time Pay: $80,000.00 - $100,000.00 per year Benefits: 401(k) matching Dental insurance Health insurance Paid time off Schedule: 8 hour shift Day shift Monday to Friday Application Question(s): 1. Do you have a CPC, CPMA, or reputed company certificate? 2. How many years of itemized reputed company review experience do you have? Work Location: Remote Apply Job!