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Remote Certified Professional Coder/ PIP Adjuster

CirrusLabs

  • Hamilton, NJ
  • 12 days ago
  • Remote

    Highlights

    Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.

    Numbers & Facts

    LocationHamilton, NJ (
    Remote
    )

    Description

    Remote... need NY/NJ PIP experience and Certified coder from AAPC

    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

      Qualifications and Experience:
      • 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
      • Strong communication skills, must be able to explain the outcome of the review, both written and verbally
      • Extensive knowledge of coding /documentation requirements
      • Thorough knowledge of CPT, HCPCs, ICD-10
      • Must have active CPC certification through AAPC
      • Ability to multi-task
      • Ability to meet critical timelines
      • Willingness to testify on a needed basis on behalf of customer to coding outcomes
      • Willingness to travel for testimony as required
      • Computer experience
      • Excel experience beyond beginner
      • Independent worker
      • Ability to manage time when working remotely
      • Must be able to travel to Hamilton NJ office as needed
      • Ability to effectively communicate with the team
    65-70K

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