Base: $19.81 - $28.30phly; bonus/equity: not speci...
Fully remote
Review medical claims and billing
Verify billed services and codes
Identify compliance issues
Responsible for conducting thorough and accurate reviews of healthcare billing and claims documentation
Job Summary
Responsible for conducting thorough and accurate reviews of healthcare billing and claims documentation.
Review medical claims and billing documentation to ensure accuracy, completeness, and compliance with regulatory requirements, coding guidelines, and payer policies.
Mass General Brigham Incorporated is an Equal Opportunity Employer and provides reasonable accommodation for individuals with disabilities.
Matching Summary
Responsible for conducting thorough and accurate reviews of healthcare billing and claims documentation.
Salary
Base: $19.81 - $28.30/Hourly; Bonus/Equity: Not specified; Benefits: comprehensive benefits
Skills & Requirements
Must-have
Review medical claims and billing
Verify billed services and codes
Identify compliance issues
Evaluate clinical documentation accuracy
Analyze claim denials and rejections
Identify fraudulent activities
Nice-to-have
Collaborate with healthcare providers
Work with billing and coding teams
Report suspicious activities
Key Requirements
High School Diploma or Equivalent
1-2 years experience in medical billing, claims processing, or coding
Familiarity with HIPAA, CMS guidelines, NCCI edits