Claims Theory
New York, NY, USA
Job Description:Certified Professional Coder / Bill Review Expert Responsibilities:Review medical bills related to MVA injuries sustained for NJ and or NY covered insuredsConduct reviews of medical bills and supporting documentation to ensure proper codes assignedAssign proper codes as needed based on review outcomeUse 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 mannerParticipate 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 schedulesStrong communicate skills, must be able to explain outcome of review, both written and verballyExtensive knowledge of coding /documentation requirementsThorough knowledge of CPT, HCPCs, ICD-10CPC/AAPC...