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Medical Review Specialist Job in Northville, Michigan

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Job Title: Medical Review Specialist

Specialties:orthopedics, neurosurgery, rehabilitation, ER and hospital
Required Certifications:CPC
Preferred Certifications:COC,CIC
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location: Northville 48167, MI, US
Date Posted:8/12/2019

Position Summary:

We are seeking a Full time Certified Professional Coder (CPC) to be part of the team in our growing medical review department.

This team member will:

  • review medical bills to determine the relationship of services billed to the covered injury
  • apply appropriate review guidelines and assess appropriate use of medical coding
  • identify over-utilization of treatment
  • make appropriate reimbursement recommendations
  • manage phone calls from customers and providers

Upon successful completion of orientation and training Medical Review Specialist may be eligible to work from home.

Qualifications Required:

  • Certified Professional Coder (CPC) - currently certified
  • A minimum of 1 year of previous billing/coding experience required - background in Orthopedics, Neurosurgery, Rehabilitation, ER, and hospital preferred.
  • Excellent customer service telephone skills
  • Proficiency with Microsoft Word and Excel

Additional Certifications a plus:

  • Certified Inpatient Coder (CIC)
  • Certified Outpatient Coder (COC)

ReviewWorks is a full service provider of Medical Cost Containment Services, for the Workers' Compensation and Auto No-fault/Liability Markets, located in Northville, Michigan.



Send resume to HR@ReviewWorks.com

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