Maximus is currently hiring for a Medical Coder to join our NY State Arbitration team. This is a remote opportunity. The Medical Coder is responsible for completing retrospective reimbursement reviews which includes reviewing services rendered and determining a reasonable reimbursement. They will be responsible for writing final and binding payment determination letters that will be distributed to our client as well as the disputing parties. Accuracy is critical in the medical coding review to ensure correct billing and compliance with regulations.
The ideal candidate thrives in a fast-paced, deadline-driven environment and can effectively manage multiple priorities with accuracy and efficiency.
Essential Duties and Responsibilities:
Abstract and code clinical data.
Audit medical records to ensure compliance with the organization's coding procedures and standards.
Accurately enter coded data in a system and validate data entered.
Research correct coding practices, clearly document and share findings with others.
Review denials and recommend billing corrections.
Train staff members on the coding process.
Minimum Requirements
'- High School diploma or equivalent with 0 - 2 years of experience.
'- Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist.
Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS.
Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Experience:
At least 2 years of coding experience.
Experience with CPT modifiers and how they impact reimbursement.
Familiarity with retrospective payment reimbursement.
Understanding of the No Surprises Act and its implications for billing practices.
Proficiency in reading and interpreting Explanations of Benefits (EOBs), including recoupments, corrections, and other claim adjustments.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
Minimum 5mpbs upload speed
Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
Private and secure work area and adequate power source
Must currently and permanently reside in the Continental US
Must have a smartphone which will be required to log into Maximus systems
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Minimum Salary
$20
Maximum Salary
$22