Medical Coder – Arbitration

Maximus

United States, US
On-site
Medical coding review accuracy
Fast-paced deadline-driven environment
Abstract and code clinical data
The Medical Coder is responsible for completing retrospective reimbursement reviews which includes reviewing services rendered and determining a reasonable reimbursement

Job Summary

  • 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.
  • Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.

Matching Summary

The Medical Coder is responsible for completing retrospective reimbursement reviews which includes reviewing services rendered and determining a reasonable reimbursement.

Skills & Requirements

Must-have

  • Medical coding review accuracy
  • Fast-paced deadline-driven environment
  • Abstract and code clinical data
  • Audit medical records
  • Enter and validate coded data
  • Research correct coding practices
  • Review denials and recommend corrections

Nice-to-have

  • Familiarity with retrospective payment reimbursement
  • Experience with CPT modifiers
  • Understanding of No Surprises Act
  • Proficiency in reading EOBs

Key Requirements

  • 0 - 2 years of experience
  • Certified Medical Coder, Certified Professional Coder, or Certified Coding Specialist
  • Knowledge of Medical Billing and Coding Systems (CPT and HCPCS)
  • Ability to work 8:00am - 5:00pm EST Monday - Friday
  • High School diploma or equivalent

Work Rights

Must currently and permanently reside in the Continental US

Tailored Resume

Cover Letter