Medical Reviewer, Coder - Seasonal

J29, Inc • Millersville, MD

2d • $35 - $40 • Remote

About The Position

J29 is hiring a Medical Reviewer, Coder for a temporary seasonal position anticipated to continue for up to six months, based on business needs. The role is remote and pays $35–$40 per hour.

The reviewer performs automated and complex reviews of Medicare Fee-for-Service (FFS) claims, including Part A/B, DMEPOS, and Home Health/Hospice claims. The work assesses overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Reviewers apply Medicare policies and guidelines, including National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.

The position also participates in dispute resolution, supports quality assurance through audits and ongoing training, maintains compliance with CMS security and privacy standards, and collaborates with key personnel to promote consistency, accuracy, and continuous process improvement.

J29 describes itself as a mission-driven, people-first organization whose culture emphasizes purpose, service, impact, thoughtful leadership, and community philanthropy.

Requirements

• At least 5 years of direct medical coding or medical billing experience in a healthcare environment.
• At least 3 years working in a productivity-based claims or case-working environment using a queued case management system.
• At least 3 years working remotely with various technology systems.
• Certification from an accredited association such as AAPC or AHIMA, or RHIA/RHIT credentials from AHIMA.

Nice To Haves

• At least 3 years of Medicare Fee-for-Service experience in a medical coding role or program.
• Experience as an end-user of low-code or no-code case management systems; preferred but not required.

Responsibilities

• Perform automated and complex reviews of Medicare FFS claims, including Part A/B, DMEPOS, and Home Health/Hospice claims.
• Assess claims for overpayments, underpayments, and proper payments as determined by RACs.
• Apply Medicare policies and guidelines, including National and Local Coverage Determinations and CMS rules.
• Document clear and accurate findings for each claim.
• Participate in dispute resolution by re-examining claims and providing supporting documentation.
• Support quality assurance through audits and ongoing training.
• Maintain compliance with CMS security and privacy standards.
• Collaborate with key personnel to ensure consistency, accuracy, and continuous process improvement in review activities.

What This Job Offers

• Education Level: No Education Listed