Claims Theory

Claims Theory Trenton, NJ, USA
Certified Professional Coder / Bill Review Expert Responsibilities Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Claims Theory Albany, NY, USA
Role Overview: We are looking for a meticulous and certified Medical Coding and Billing Specialist to join our team. Your primary focus will be on reviewing medical bills for individuals who have sustained injuries from motor vehicle accidents. This is a fantastic opportunity to contribute to accurate coding and enhance communication with our customers and legal partners. Key Responsibilities: Review medical bills specifically related to injuries from motor vehicle accidents. Thoroughly evaluate medical documentation to ensure precise coding is applied. Leverage resources such as eBooks and 3M software to support your analysis. Interpret and apply fee schedule guidelines effectively during your evaluations. Clearly document review outcomes to promote understanding among customers. Engage in conference calls with customers and attorneys as necessary. Assist with special projects and other tasks as directed. Qualifications and Experience: 3-5 years of...

Claims Theory New York, NY, USA
Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Claims Theory Trenton, NJ, USA
A leading insurance firm in New Jersey is seeking a Certified Professional Coder / Bill Review Expert to review medical bills related to MVA injuries and ensure the proper coding. The ideal candidate will have 3-5 years of experience in medical billing, especially with NJ/NY PIP fee schedules, along with excellent communication skills and a CPC/AAPC certification. This position offers opportunities to work remotely while also requiring occasional travel to the Hamilton NJ office for meetings and collaboration. #J-18808-Ljbffr

Claims Theory Trenton, NJ, USA
A medical billing company in New Jersey seeks a Certified Professional Coder/Bill Review Expert. The role requires reviewing medical bills and ensuring correct coding according to NJ/NY fee schedules. Candidates should have 3-5 years of relevant experience, a CPC/AAPC certification, and strong communication skills to convey review outcomes. Proficiency in using Excel and the ability to manage time effectively while working remotely are essential. Occasional travel to Hamilton NJ office is required. #J-18808-Ljbffr

Claims Theory New York, NY, USA
A leading medical billing company based in New York is seeking a Certified Professional Coder / Bill Review Expert. The role involves reviewing medical bills related to MVA injuries, conducting thorough coding reviews, and ensuring compliance with NJ/NY PIP fee schedules. Candidates must possess CPC/AAPC certification and have at least 3 years of relevant experience. Strong communication skills and Excel proficiency are essential. The position may require occasional travel to the Hamilton, NJ office. #J-18808-Ljbffr

Claims Theory New York, NY, USA
Certified Professional Coder / Bill Review Expert Responsibilities Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...