D

Dane Street

National physician-based IME and peer reviews

Freelance Medical & Billing Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
ContractSan Antonio, TX, USANo salary listedIn-person

About the Job

Requirements

  • Must have a CPC, APCC, CMBS, or DRG coder certification.
  • Must have experience working in a medical office or healthcare background.
  • Must work with a sense of urgency and meet deadlines.
  • Must be self-motivated and driven to meet performance expectations.
  • Must have excellent written and verbal communication skills.
  • Must be proficient in navigating a variety of computer programs.
  • Must have attention to detail.

Responsibilities

  • Evaluate whether codes are appropriate and meet established program standards.
  • Ensure medical records are appropriately matched to codes and obtain records when they are not.
  • Read and apply policy guidelines and healthcare terminology, and determine whether criteria are met.
  • Evaluate claims for conflicts of interest and appropriateness of criteria.
  • Work within established timeframes set by program parameters.
  • Work closely with clients case by case to provide complete, timely, and accurate quality assurance of cases.
  • Provide clinical oversight for complex cases that need additional review before being returned to the client.
  • Provide an additional level of quality assurance and clinical knowledge or review for cases with quality issues.
  • Communicate with other reviewers and their office teams to clarify information and ensure that all questions have been addressed.
  • Ensure reports are returned within client deadlines.

Desired Qualifications

  • Payment integrity or professional bill review experience is strongly preferred.
  • Out-of-network bill review experience is a plus.
  • Experience working in a remote environment is preferred.
  • Experience with Google Chrome, Gmail, Docs, and Sheets is a plus.

About the Company

Dane Street

National physician-based IME and peer reviews

Dane Street provides independent medical exams (IMEs) and peer-review services on a nationwide scale. It works with a panel of board-certified physicians located in all 50 states to deliver evaluations across Workers Compensation, Pharmacy, Disability, Group Health, and Auto/Liability cases. The process involves a physician-based review and evaluation system that produces expert reports with faster turnaround times, higher report quality, and increased satisfaction and productivity among adjusters and nurses. The company differentiates itself with its large, nationwide network and its focus on timely, high-quality evaluations across multiple lines of business. Its goal is to improve the accuracy and efficiency of medical reviews to support better decision-making for insurers, employers, and patients.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Palm Beach Gardens, FL
Founded
2008

Recently Posted Jobs

Explore more opportunities at Dane Street

See more jobs