Medical Bill Review/Coding Specialist

Posted 2025-04-22
Remote, USA Full-time Immediate Start

Health Options & Management Services, Inc., is seeking individuals with experience in medical bill review/coding who want to apply their talents as part of a team of workers? compensation management professionals, in a clean, comfortable office setting. Daylight hours may vary slightly, Monday through Friday. In this position, you will:
? Meet daily production quotas in analyzing and processing medical invoices in accordance with prevailing fee schedule/UCR guidelines.
? Efficiently reprice and direct incoming bills by analyzing bill payments based on guidelines of prevailing fee schedule.
? Accurately and efficiently code medical bills into repricing database.
? Review medical fee and other supporting documentation for appropriate use of CPT and ICD-9 codes/fee schedules.
? Review screens, including duplication and prior authorization verification, and other resource materials to determine appropriate reimbursement of billed services.
? Flag any problem bills for review by supervisor.

Qualifications: ? Demonstrated ability working as a medical bill review/coding specialist. Appropriate medical bill review/coding certifications preferred/considered. ? Strong written and verbal communication skills while working in an electronic medium (e.g., basic computer skills), are preferred. ? Fluent Spanish or other language skills a plus.

Email your resume and cover letter to Lois Baltzley

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