2 jobs found in Schertz

Job Description Job Description Description: The remote Coder/Specialty Medical Bill Reviewer is responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements. Essential Job Functions: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts Analysis and review of 1 or more assigned states having fee schedules Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills Review medical bills for compensability and relatedness to injury Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network Research usual and customary/fee...

Nexmc is seeking a Coder/Specialty Medical Bill Reviewer to work remotely from Schertz, Texas. In this role, you will be responsible for auditing medical bills for compliance with state fee schedules and guidelines while ensuring high accuracy in billing processes. Applicants must have a High School Diploma and AAPC Coding Certification, along with at least two years of experience in medical bill review. The position requires strong analytical skills and knowledge of medical terminology. #J-18808-Ljbffr