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Medical Coding Reviewer - MO Licensed

Company: VirtualVocations
Location: Santa Ana
Posted on: February 4, 2025

Job Description:

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 codes
Review medical records for consistency with billing and assist with coding-related inquiries
Identify potential billing errors, fraud, and opportunities for prepayment reviews


Required Qualifications

Associate's degree in a related field or equivalent experience
Coding certification with 2+ years of experience in medical billing & coding or related fields
Experience in provider communication and education preferred
Licensure as LPN, RN, or relevant coding certifications (CPC, CCS, etc.)
2+ years of related clinical experience

Keywords: VirtualVocations, Coachella , Medical Coding Reviewer - MO Licensed, Healthcare , Santa Ana, California

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