Public Insurance Adjuster Apprentice 249388 Metro Public Adjustment
New Jersey20 days agoRemote
- $200 Per Hour
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Skills
- Certified Professional Coder (CPC)unmatched
- Claims Processingunmatched
- Code Reviewsunmatched
- Communication Skillsunmatched
- Computer Skillsunmatched
- Current Procedural Terminology (CPT)unmatched
- Documentationunmatched
- Documentation Reviewunmatched
- Fee Scheduleunmatched
- Healthcare Common Procedure Coding System (HCPCS)unmatched
- ICD-10unmatched
- Insuranceunmatched
- Medical Billingunmatched
- Microsoft Internet Explorer Browserunmatched
- Multitaskingunmatched
- Regulatory Requirementsunmatched
- Reimbursementunmatched
- Software Administrationunmatched
- Time Managementunmatched
- Willing to Travelunmatched
- Work From Homeunmatched
- eBooksunmatched
Description
Remote... need NY/NJ PIP experience and Certified coder from AAPC
Responsibilities:
Responsibilities:
- Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds
- Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes
- Assign proper CPT, HCPCs codes based on the review outcome
- Review CPT codes for unbundled services
- Review billed modifiers for accuracy of use
- Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement
- Interpret fee schedule guidelines and apply those guidelines in daily reviews
- Document review outcomes for customers in a professional easy to understand manner
- Use various resources, IE: eBooks, 3M software to support reviews
- Participate in conference calls as needed with customers and/or attorneys
- Participate in virtual and in-person testimony or trial when needed
- Assist with various special projects and other duties as assigned
Qualifications and Experience:- 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
- Strong communication skills, must be able to explain the outcome of the review, both written and verbally
- Extensive knowledge of coding /documentation requirements
- Thorough knowledge of CPT, HCPCs, ICD-10
- Must have active CPC certification through AAPC
- Ability to multi-task
- Ability to meet critical timelines
- Willingness to testify on a needed basis on behalf of customer to coding outcomes
- Willingness to travel for testimony as required
- Computer experience
- Excel experience beyond beginner
- Independent worker
- Ability to manage time when working remotely
- Must be able to travel to Hamilton NJ office as needed
- Ability to effectively communicate with the team
Numbers & Facts
| Location | Hamilton, NJ (Remote) |
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