Medical Coding Reviewer

A company is looking for a Medical Coding Reviewer I to perform clinical and coding medical claim reviews. Key Responsibilities Analyze provider billing practices using code auditing software and regulatory guidelines Review medical records for consistency with billing for appeals and adjustments Identify potential billing errors, fraud, and opportunities for prepayment reviews Required Qualifications Associate's degree in a related field or equivalent experience Coding certification and 2+ years of experience in medical billing & coding or related fields 2+ years of related clinical experience as an RN or LPN preferred Experience in provider communication and education is preferred Relevant licenses / certifications such as LPN, RN, CPC, or CCS