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Medical Bill Review/Coding Specialist

Remote, USA Full-time Posted 2025-11-03
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 Apply Job!  

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