[Remote] Billing and Coding Specialist

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. IMS Legal Strategies serves trusted law firms and corporations worldwide, providing comprehensive solutions for complex legal and business matters. The Billing and Coding Specialist is responsible for reviewing and auditing medical codes and billing records, ensuring compliance with customary charges, and preparing necessary documentation for legal proceedings. Responsibilities • Responsible for reviewing and auditing medical codes, procedure codes and facility codes, utilizing industry standard database information and comparing the information to billings submitted by opposing counsel in litigation. • If significant differences exist, prepare, and submit a Controverting Affidavit or Cost Report to Counsel to be submitted to the Court or opposing counsel. • Must be willing to be deposed by opposing counsel and must be willing to travel to the appropriate court/legal jurisdiction for deposition and/or Trial. • Review and compare opposing counsel’s medical providers billing codes and charges against reasonable and customary charges in a specific geographic region • Utilize industry standard database(s) information to assess billed charges for each procedure code. • Produce a Controverting Affidavit or Cost Report to be submitted to the Court where charges from opposing counsel’s medical providers are above the usual and customary charges for each medical billing code and procedural code. • Be prepared to be deposed by opposing counsel to defend individuals’ credentials, qualifications, findings, and sources as it relates to the submitted Controverting Affidavit • Maintain strict confidentiality. • Handle client information about patient treatment, diagnosis, and related identifiable protected healthcare information in accordance with HIPAA-Privacy Rule requirements. Skills • 3+ years of related experience in medical billing, coding, and expert testimony • CPC or CCS is required • Know methodology of several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, CDT, HCPCS Level II and DRG, along with other relevant databases such as Optum 360, Find-a-Code, and Context 4. • Strong computer skills related to bill review software/applications, word processing and spreadsheets. • Detail oriented, task oriented and excellent time management skills to meet critical legal deadlines. • Possess strong written and verbal communication skills and strong PC skills. • Maintain strict confidentiality. • Handle client information about patient treatment, diagnosis, and related identifiable protected healthcare information in accordance with HIPAA-Privacy Rule requirements. • AAPC or AHIMA credentials strongly preferred. Benefits • A competitive compensation package with 401K match • Flexible PTO and 12 paid holidays • Robust Health & Welfare Benefits including medical, dental, vision, HSA, short term disability, long term disability, and life insurance, all with generous company contributions • Career development programs supported through an integrated Learning Platform • Talent Identification Program to recognize and reward our high performing, high potential team members through career growth opportunities and unique development experiences Company Overview • IMS Legal Strategies provides financial and economic advisory services, expert witness searches, and litigation consulting expertise. It was founded in 1992, and is headquartered in Pensacola, Florida, USA, with a workforce of 201-500 employees. Its website is Apply tot his job
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