Full Time
Claims Theory
Remote (Hamilton Township, NJ, USA)
Certified Nurse Coder Team Lead
We are seeking an experienced individual with a CPC (certified professional coder through AAPC) Registered Nurse with Team lead experience. Salary range is $75,000-$85,000 based on experience and credentials. This is a remote position. PLEASE ONLY APPLY IF YOU ARE AN RN & CPC. MUST HOLD THESE CERTIFICATIONS OR WILL BE AUTOMATICALLY REJECTED. Preferred experience with NJ/NY MVA and Workers Comp cases/fee schedules.
Responsibilities:
· Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds in accordance with the NJ and/or NY PIP regulations
· Interpret medical documentation to ensure accuracy of billed services IE: CPT, HCPCs codes. Review for unbundled services, modifier usage. Perform crosswalk of billed codes to maximize client savings
· Provide support/training to code review team regarding proper coding guidelines, interpretation of medical documentation and proper...