Med-Metrix

Med-Metrix in Parsippany, NJ seeks a Biller responsible for WCNF EDI charge capture and claim submission. You will review referrals, complete charge corrections, verify patient demographics and authorizations, and address payer delays in a compliant, HIPAA‑secure manner. High school diploma or equivalent is required; EPIC experience and Microsoft Office proficiency are preferred. This is an on-site, full-time position. #J-18808-Ljbffr

Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid‑level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners’ coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected codes most...

Coding Auditor The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners' coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected...

Join Med-Metrix Experience these exceptional benefits: 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding....

Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners’ coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that...

Job Title The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Benefits Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all PCS and ICD-10 codes for services rendered when required Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the...

Job Title The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQ's to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute...

Med-Metrix seeks a Coding Auditor to conduct inpatient and outpatient coding and auditing across specialties, preparing and presenting audit results. The role requires CPC or CCS certification, 5+ years coding and 2+ years auditing in multi-specialty settings, and strong communication skills. Responsibilities include education, HIPAA compliance, and collaboration with offsite auditors. #J-18808-Ljbffr

Join Med-MetrixExperience these exceptional benefits:8-Hour ShiftsDay 1 HMO with 2 of your dependents covered for FREEGroup Life InsuranceMedical Cash AllowanceRice AllowanceClothing AllowanceHoliday GiftBereavement AssistancePaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeResponsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.Duties and ResponsibilitiesRead and interpret insurance carrier EOBs.Review medical reports, verify coding.Resolve coding related denial.Make any necessary coding...