Senior Medical Reviewer

J29, Inc • Millersville, MD

8d

About The Position

This position is contingent upon the successful award of the associated contract. Employment is not guaranteed until the contract is awarded, and the position is officially activated. Job responsibilities and requirements are subject to change.

Senior Medical Reviewer, Register Nurse
About J29
At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact — not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business success.

Requirements

• 6+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
• 4+ years working a productivity-based claims or case working environment, out of a queued case management system.
• 3+ years working remotely with various technology systems.
• Candidate should have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.
• Experience with low-code, no-code case management systems as an end-user is required.
• Candidate shall possess a bachelor’s degree in a related field, from an accredited institution.
• Active license as a Registered Nurse, in good standing, in the United States (as verified by Nurses). Verified regularly.

Responsibilities

• Serve as a medical record review expert, supporting The J29 Team with complex and advanced automated review support.
• Handle escalations from fellow reviewers that are in need of exert level review support.
• Support trainings for new-hires, and QA-led trainings put on by team's Quality Assurance Lead.
• Responsible for supporting the productivity queue on a regular basis to advance cases that are complex and difficult in nature.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 1-10 employees