Itemized Bill Reviewer

📋 Description

• Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms
• Proactively identify and document potential billing errors, including duplicate billing of items
• Compare billed charges against both payor-specific contracts and industry guidelines to confirm
• Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate
• Review claims eligible under specific reimbursement scenarios: a percentage of charges or those
• Prepare clear, concise, and professional documentation of all findings, including savings

🎯 Requirements

• A bachelor's degree or 4+ years of commensurate experience
• 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04)
• 4+ years experience in medical coding
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
• Experience with reimbursement methodologies, provider contract concepts and common claims

🎁 Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance