Freelance Medical & Billing Coder

Dane Street • San Antonio, TX

5d • Remote

About The Position

Dane Street is seeking motivated Coders, bill reviewers, and payment integrity reviewers to join their team. This role involves applying clinical knowledge to review medical billing information and coding for accuracy within the group health sector. The position requires communication with office teams to ensure clarity and timely completion of reports, adhering to client deadlines.

Requirements

• Must have a CPC, APCC, CMBS, or DRG coder certification
• Payment integrity or professional bill review experience is strongly preferred.
• Out-of-network bill review experience is a plus.
• Experience working in a remote environment is preferred.
• Experience in a medical office or health care background.
• Must work with a sense of urgency and meet deadlines.
• Must be self-motivated, with a strong drive for performance excellence.
• Excellent written and verbal communication skills are required.
• Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
• Attention to detail REQUIRED.

Nice To Haves

• Out-of-network bill review experience is a plus.
• Experience working in a remote environment is preferred.
• Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus.

Responsibilities

• Evaluates the appropriateness of codes and determine whether they meet all established program standards.
• Ensures that the medical records are matched appropriately to the codes and if not, obtains them.
• Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.
• Evaluates claims for conflict of interest and criteria appropriateness.
• Works within established timeframes set by program parameters.
• Provides 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 cases.
• Provides clinical oversight to cases that are complex and need additional review prior to return to the client.
• Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours-conduct reviews based on your schedule availability
• Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed