PERMA FAIR
Camden, NJ
Position Summary
The Member Experience Clinical Coder & Medical Biller serves as a key contributor to internal medical billing review, payment integrity, and claims adjudication. Responsible for reviewing, validating, and repricing claims on behalf of payers, providers, and claim audit partners to support accurate reimbursement and strengthen payment integrity for our self‑insured clients. Translate medical diagnoses, procedures and services into standardized coding while ensuring compliance with established guidelines and reimbursement methodologies. Collaborate closely with providers, Third-Party Administrators (TPAs), and other stakeholders to identify coding discrepancies, provide analysis, and communicate findings that drive informed decision‑making and optimal claim outcomes.
Key Responsibilities
Medical Coding & Documentation Review
Receive, analyze, and verify patient medical records for accuracy, ensuring all required information is present for proper billing and...