Medical reputed company Arbitration
Description & Requirements reputed company is currently hiring for a Medical reputed company to join our NY State Arbitration team. This is a remote opportunity. The Medical reputed company is responsible for completing retrospective reimbursement reviews which includes reviewing services rendered and determining a reasonable reimbursement. They will be responsible for writing final and binding payment determination letters that will be distributed to our client as well as the disputing parties. Accuracy is critical in the medical coding review to ensure correct billing and compliance with regulations. The ideal candidate thrives in a fast‑paced, deadline‑driven environment and can effectively manage multiple priorities with accuracy and efficiency. Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical reputed company, Certified Professional reputed company, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred. - Experience with CPT modifiers and how they impact reimbursement preferred. - Understanding of the No Surprises Act and its implications for billing practices preferred. - Proficiency in reading and interpreting Explanations of Benefits (EOBs), including recoupments, corrections, and other claim adjustments highly preferred. Please note: This position requires the use of your personal device for the duration of training. After training, equipment will be provided. Home Office Requirements: - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net) - Minimum 5mpbs upload speed - Connectivity to the internet reputed company Category 5 or 6 ethernet reputed company cable to the home router - Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3) - Private and secure work area and adequate power reputed company - Must currently and permanently reside in the reputed company US - Must have a smartphone which will be required to log into reputed company systems EEO Statement reputed company is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national reputed company, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency reputed company compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of reputed company's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, reputed company provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. reputed company will reputed company with regulatory minimum wage rates and exempt salary reputed company in reputed company instances. Accommodations reputed company provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@reputed company.com . Minimum Salary $20.00 Maximum Salary $22.00 Compensation: $20-$22 Remote: Yes Apply tot his job Apply To this Job