Senior Medical Coding Reviewer - RN
Company: VirtualVocations
Location: Van Nuys
Posted on: November 1, 2024
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Job Description:
A company is looking for a Senior Medical Coding Reviewer to
minimize fraud, waste, and abuse through medical claim reviews.
Key Responsibilities
Perform medical claim reviews to ensure compliance with coding
guidelines
Lead a team of expert witnesses in defending payment decisions
during hearings and provider calls
Develop and maintain review guidelines for corporate medical coding
reviews
Required Qualifications and Education
Associate's Degree in Nursing or a related field
4+ years of medical coding experience, preferably in a managed care
organization
RN, LPN, CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, RHIA, or CPMA
certification required
State licensure for nursing or paramedic required
Experience in provider education and medical record auditing
preferred
Keywords: VirtualVocations, Palmdale , Senior Medical Coding Reviewer - RN, Healthcare , Van Nuys, California
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