Medlogix

Position Certified Professional Coder / Bill Review Expert Location Remote Employment Details FMLA: Non-Exempt, Full-Time Schedule: M-F 8:00 AM - 4:30 PM Must Have PIP experience with a high level understanding of fee schedule guidelines in NY, NJ, FL, or MI required. CPC in good standing with AAPC required (may consider candidate with strong PIP experience, e.g., NJ/NY PIP adjuster). Responsibilities Use various resources to support reviews, such as CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software. Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and/or NY-covered insureds. Interpret medical documentation to ensure accuracy of billed services (e.g., CPT, HCPC codes). Assign proper CPT and HCPC codes based on the review outcome. Review CPT codes for unbundled services. Review billed modifiers for accuracy of use. Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement. Interpret fee schedule...

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. About this role: Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who...