Medical Reviewer, Coder - Seasonal
This is a temporary seasonal position. Employment is anticipated to continue for up to six months based on business needs.
Medical Reviewer, Coder
Location: Remote
Rate: $35-40 hourly
About J29
At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact — not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business success.
Key Responsibilities
RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.
Reviewers participate in dispute resolution by re-examining claims and providing supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS security and privacy standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities.
Qualifications
- 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
- 3+ years working in a productivity-based claims or case working environment, out of a queued case management system.
- 3+ years working remotely with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.
- Experience with low-code, no-code case management systems as an end-user is preferred but not required.
- Certified from an accredited association such as the American Association of Professional Coders (AAPC) or American Health Information Management Association (AHIMA). May also be Registered Health Information Administrators (RHIA) and Registered Health Information Technicians (RHIT); credentialed by AHIMA in their field of health information
5+ years medical coding/billing experience, 3+ years in productivity-based claims environment, 3+ years remote work, Medicare FFS experience preferred, certification from AAPC or AHIMA required.
Key Responsibilities
- reviewing claims
- documenting findings
- supporting quality assurance
Skills & Tools
case management system
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Temporary, Seasonal
- Workplace: Remote — United States
- Salary: USD 72,800 – 83,200 / year
- Languages: English
About J29, Inc
A mission-driven organization providing healthcare claims review and consulting services. — Industry: Consulting Services