Medical Bill Review/Coding Specialist

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