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State Licensed Medical Coding Reviewer

Company: VirtualVocations
Location: Washington
Posted on: January 31, 2025

Job Description:

A company is looking for a PI Medical Coding Reviewer III, requiring CPC, RHIT, or RHIA certification.



Key Responsibilities

Generate comprehensive reports to track performance related to Pre-Pay and Post-Paid Processes
Recommend process changes and build relationships with cross-departmental teams to address internal system gaps
Mentor and train claims analysts on coding and documentation standards


Required Qualifications

Associate's degree or equivalent relevant work experience
Minimum of five years of medical billing and coding experience, including three years in SIU/FWA
Prior experience with claim pre-payment and medical claim auditing
Medicaid/Medicare experience is required
Certified Medical Coder (CPC, RHIT, or RHIA) is required at time of hire

Keywords: VirtualVocations, Columbia , State Licensed Medical Coding Reviewer, Healthcare , Washington, Maryland

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