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Certified Professional Coder

Job in New York, New York County, New York, 10261, USA
Listing for: Claims Theory
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
  • Administrative/Clerical
    Healthcare Administration
Job Description & How to Apply Below
Location: New York

Job description

​Certified Professional Coder / Bill Review Expert​Responsibilities:​
  • Review medical bills related to MVA injuries sustained for NJ and/or NY covered insureds
  • Conduct reviews of medical bills and supporting documentation to ensure proper codes are assigned
  • Assign proper codes as needed based on review outcome
  • Use various resources, e.g., eBooks and 3M software to support reviews
  • Interpret fee schedule guidelines and apply those guidelines in daily reviews
  • Document review outcomes for the customer in a professional, easy-to-understand manner
  • Participate in conference calls as needed with customer and/or attorneys
  • Assist with various special projects and other duties as assigned
​Qualifications and

Experience:

  • 3–5 years of medical billing experience specifically with 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 and documentation requirements
  • Thorough knowledge of CPT, HCPCS, ICD‑10
  • CPC/AAPC certification required
  • Ability to multi‑task
  • Ability to meet critical timelines
  • Computer experience (including MS Office)
  • Excel experience beyond beginner level
  • Independent worker
  • Ability to manage time when working remotely
  • Must be able to travel to the Hamilton, NJ office as needed
  • Effective communication with the team
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