Freelance Medical & Billing Coder
Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.Job Summary:A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.Core Duties & Responsibilities:Evaluates the appropriateness of codes and determine whether they meet all established program standardsEnsures that the medical records are matched appropriately to the codes and if not, obtains themRead & apply policy guidelines and healthcare terminology and delineate when criteria are/are not metEvaluates claims for conflict of interest and criteria appropriatenessWorks within established timeframes set by program parametersProvides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of casesProvides clinical oversight to cases that are complex and need additional review prior to return to the clientServes as an additional level of QA and clinical knowledge/review for cases with quality IssuesRequirementsRequired Education & Experience:Must have a CPC, APCC, CMBS, or DRG coder certificationPayment integrity or professional bill review experience is strongly preferredOut-of-network bill review experience is a plusExperience working in a remote environment is preferredExperience in a medical office or health care backgroundRequired Skills:Must work with a sense of urgency and meet deadlinesMust be self-motivated, with a strong drive for performance excellenceExcellent written and verbal communication skills are requiredProficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus)Attention to detail REQUIREDPLEASE BE AWARE: In the interest of the security of both parties, please be aware thatDane Street will never conduct an interview via text or request checks from candidatesfor purchasing equipment.BenefitsRobust opportunity for supplemental incomeSchedule flexibility and predictable work hours-conduct reviews based on your schedule availabilityFully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portalA fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seekinginsightful, astute forward-thinking professionals. We process over 200,000 insuranceclaims annually for leading national and regional Workers' Compensation, Disability,Auto and Group Health Carriers, Third-Party Administrators, Managed CareOrganizations, Employers and Pharmacy Benefit Managers. We provide customizedIndependent Medical Exam and Peer Review programs that assist our clients inreaching the appropriate medical determination as part of the claims managementprocess.