Virginia, 23947
Job description
**Job Title: Medical Reviewer – Coding Specialist**
In this role, you will carry out detailed coding-oriented reviews of Medicare Part A/B claims and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to verify their accuracy and medical justification. Your responsibilities will include researching and implementing CMS coding standards while spotting potential instances of improper payments or documentation trends that may suggest fraudulent activity.
Candidates should have a minimum of three years of hands-on experience in medical coding or auditing along with an active certification from AAPC or AHIMA. A robust understanding of CMS regulations is essential, and the ability to work autonomously in a remote, queue-driven environment is required.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
