Certified Professional Coder/ PIP Adjuster

Certified Professional Coder / Bill Review ExpertLocation: Remote- Anywhere in USResponsibilities:Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insuredsInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled servicesReview billed modifiers for accuracy of useCrosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand mannerUse various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person testimony or trial when neededAssist with various special projects and other duties as assigned Qualifications and Experience:3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedulesStrong communication skills, must be able to explain the outcome of the review, both written and verbally Extensive knowledge of coding /documentation requirementsThorough knowledge of CPT, HCPCs, ICD-10Must have active CPC certification through AAPC Ability to multi-taskAbility to meet critical timelinesWillingness to testify on a needed basis on behalf of customer to coding outcomesWillingness to travel for testimony as requiredComputer experienceExcel experience beyond beginnerIndependent workerAbility to manage time when working remotelyMust be able to travel to Hamilton NJ office as neededAbility to effectively communicate with the team

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