May 29, 2024

Certified Professional Coder-Billing Expert

  • Hilo Talent Partners
  • , NJ, United States
(CPC) Certified Professional Coder

Job Description

OUR STORY

Medlogix® is a technology-driven, clinically-based medical claims management provider. We offer a comprehensive solution for streamlining insurance claims, backed by more than 35 years of claims management experience, and powered by superior technology.


THE OPPORTUNITY

Medlogix is seeking a Certified Professional Coder to join the team! The ideal candidate has obtained a Certified Professional Coders certificate from AAPC (American Academy of Professional Coders) and has also maintained active accreditation status. The candidate should live in New Jersey or the Tri-State. This role is specific to PIP, therefore knowledge of NJ or NY auto is important. This job is primarily work from home with the requirement to travel for testimony as needed (infrequent).


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 the 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 customers in a professional easy to understand manner
  • Participate in conference calls as needed with customers and/or attorneys
  • Participate in virtual and in-person testimony or trial when needed
  • 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
  • CPC/AAPC certification required
  • Strong communication skills, must be able to explain the outcome of the review, both written and verbally
  • Extensive knowledge of coding /documentation requirements
  • Thorough knowledge of CPT, HCPCs, ICD-10
  • Ability to multi-task
  • Ability to meet critical timelines
  • Willingness to testify on an as-needed basis on behalf of the customer to coding outcomes
  • Willingness to travel for testimony as required
  • Computer experience
  • Excel experience beyond beginner
  • Independent worker
  • Ability to manage time when working remotely
  • Must be able to travel to Hamilton NJ office as needed
  • Ability to effectively communicate with team members
  • Valid driver’s license


OUR COMMITMENT

Medlogix, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.


BENEFITS

  • Paid Time Off
  • Medical Insurance
  • Dental Insurance
  • Life Insurance
  • 401K Savings Plan and company match
  • Tuition Reimbursement Plan
  • Employee Assistance Program
  • Short Term Disability
  • Long Term Disability
  • Supplemental Life Insurance
  • Supplemental Short Term Disability Insurance
  • Critical Illness Insurance
  • Pre-Paid Legal Service
  • Direct Deposit