Job Description – Forensic Certified Professional Coder
The Forensic Certified Professional Coder (CPC) will work with provider billers on a daily basis to negotiate bills that do not fall under a fee schedule. Our ideal candidate will have experience with NYS and/or NJ fee schedule, writing affidavits, and have Auto/No Fault experience (preferred). The Forensic Certified Professional Coder will also review bills and corresponding medical notes to determine the point of stabilization on DWI cases, incidents of syncope, heart attack, stroke and other medical conditions that are not accident related.
Managed Care Network, Inc. strives to be the best employer in the P&C marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers job easier.
We offer a great benefits package as well as the flexibility to work hybrid or fully remote.
A few of the tasks that would be involved are:
License/Certification:
Pay: $55,000.00 - $80,000.00 per year – (commensurate to experience)
Benefits:
About us:
We take pride in our teamwork setting us apart from the rest of the industry and allowing our company to grow; which in turn allows our staff to grow both personally and professionally. Our company mission statement, allows us to serve our customers, by being a reliable and dependable partner to achieving their goals. Your work will be valued each and every day and your impact to our customers will be recognized. Please visit our website to learn more about us at: https://managedcarenetwork.com/
The Forensic Certified Professional Coder (CPC) will work with provider billers on a daily basis to negotiate bills that do not fall under a fee schedule. Our ideal candidate will have experience with NYS and/or NJ fee schedule, writing affidavits, and have Auto/No Fault experience (preferred). The Forensic Certified Professional Coder will also review bills and corresponding medical notes to determine the point of stabilization on DWI cases, incidents of syncope, heart attack, stroke and other medical conditions that are not accident related.
Managed Care Network, Inc. strives to be the best employer in the P&C marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers job easier.
We offer a great benefits package as well as the flexibility to work hybrid or fully remote.
A few of the tasks that would be involved are:
- Reviewing medical bills and auditing those bills for validity and accuracy.
- Ensure coding and charges are supported by appropriate clinical documentation
- Write legally sound affidavits to be submitted for arbitration and litigation purposes
- May have to testify in relation to an audit or affidavit they have written.
- Certified Professional Coder (CPC) Certification
- Certification in Medical Coding
- Comprehensive Knowledge of International Classification of Diseases (ICD-10)
- Experience with Workers Compensation, No-Fault Insurance Medical Bills, Diagnosis Related Groups (DRGs) and Enhanced Ambulatory Patient Groups (EAPGs)
- Must have experience with NYS and/or NJ Fee Schedule
- Must have experience in writing Affidavits
- May have to testify in relation to an audit or affidavit they have written.
License/Certification:
- Certified Professional Coder (CPC)
Pay: $55,000.00 - $80,000.00 per year – (commensurate to experience)
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- 8-hour shift
- Day shift
- Monday to Friday
- Hybrid work
- Office
- ICD coding: 3-5 years (Preferred)
About us:
We take pride in our teamwork setting us apart from the rest of the industry and allowing our company to grow; which in turn allows our staff to grow both personally and professionally. Our company mission statement, allows us to serve our customers, by being a reliable and dependable partner to achieving their goals. Your work will be valued each and every day and your impact to our customers will be recognized. Please visit our website to learn more about us at: https://managedcarenetwork.com/