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Medlogix · 3 weeks ago

Certified Professional Coder/ PIP Adjuster

United States

Full-time

Remote

Mid Level

$60K/yr - $65K/yr

3+ years exp

Medlogix is a company focused on healthcare services, seeking a Certified Professional Coder/PIP Adjuster. The role involves reviewing medical bills and ensuring the accuracy of coding related to insurance claims for MVA injuries.

BillingHealth InsuranceInsuranceInsurTechMedical

Responsibilities

Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds

Interpret 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 services

Review billed modifiers for accuracy of use

Crosswalk 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 manner

Use 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 needed

Assist with various special projects and other duties as assigned

Qualification

CPC certificationCPT codingHCPCs codingICD-10 codingCode review experienceExcel proficiencyMulti-taskIndependent workerCommunication skillsTime management