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Dane Street

National physician-based IME and peer reviews

Freelance Medical & Billing Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
ContractOrlando, FL, USANo salary listedIn-person

About the Job

Requirements

  • Must hold a CPC, APCC, CMBS, or DRG coder certification.
  • Experience in a medical office or healthcare background is required.
  • Must work with urgency and meet deadlines.
  • Must be self-motivated and driven to deliver strong performance.
  • Excellent written and verbal communication skills are required.
  • Must be proficient in navigating a variety of computer programs.
  • Attention to detail is required.

Responsibilities

  • Review reports accompanying medical records to confirm medical billing information and coding are correct.
  • Communicate with other reviewers and their office teams to clarify information and ensure all questions are addressed.
  • Ensure reports are returned within client deadlines.
  • Evaluate the appropriateness of codes and determine whether they 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 timeframes established by program parameters.
  • Provide customer service and work with clients case by case to deliver complete, timely, and accurate quality assurance of cases.
  • Provide clinical oversight for complex cases requiring additional review before return to the client.
  • Provide an additional level of quality assurance and clinical review for cases with quality issues.

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, Sheets, and similar programs 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

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