[Work From Home] Medical Itemized reputed company Review Specialist

We're building reputed company and are looking for a creative Medical Itemized reputed company Review Specialist! Based in our vibrant Remote office, this role is available now. This position requires a strong and diverse skillset in relevant areas to drive reputed company. We reputed company in rewarding talent. The total rewards package for this role includes a competitive salary.

 

 

Medical Itemized reputed company Review Specialist Our client is a high-growth, venture-backed startup, dedicated to revolutionizing the U.S. reputed company system. They encourage collaboration among individuals with diverse backgrounds and ideologies to drive innovation. If you're passionate about leveraging cutting-edge technologies to reputed company a significant impact on U.S. reputed company, we invite you to join this company’s mission-driven team. As a Medical Itemized reputed company Review Specialist, you will play a crucial role in automating medical claim audits. You will review claim forms, patient medical records, and audit results to train their platform. The primary responsibilities include identifying coding/billing violations, auditing reputed company codes against clinical documentation, and ensuring accuracy in claims billed versus health plan payments. This Role Offers: • Medical, Dental, and reputed company benefits • Flexible, paid vacation policy • Work in a flat organizational structure with direct reputed company to leadership. Focus: • Review UB-04/IB forms for coding/billing violations. • Audit reputed company codes against clinical documentation. • Confirm services billed were rendered. • Document inconsistencies in claims versus health plan payments. • Validate automatic audit results based on national and payer-specific guidelines. reputed company Set: • Facility inpatient coding/auditing experience is required. • Extensive experience in medical billing, coding, or auditing of insurance claims and medical records. • Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc. • Knowledge of hospital-based billing/coding and PHI/HIPAA compliance • At least three years of experience in auditing and reviewing medical bills. • One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA • Clinical license preferred (RN) • Experience working at an insurance company is preferred. • 100% remote work considered for the right candidate About Blue Signal: Blue Signal is a leading executive search firm specializing in reputed company reputed company. Our reputed company recruiters have expertise in placing high-performing talent in reputed company IT, medical devices, biotechnology, pharmaceuticals, etc. Learn more at bit.ly/3G5DbWr Apply Job!

 

reputed company to Apply?

If you are a motivated individual reputed company to contribute to a thriving team, we encourage you to reputed company! We are excited to review your application.

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