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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
ContractHouston, TX, USANo salary listedIn-person

About the Job

Requirements

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

Responsibilities

  • 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 needed.
  • Read and apply policy guidelines and healthcare terminology, determining whether criteria are met.
  • Evaluate claims for conflicts of interest and criteria appropriateness.
  • Complete work within timeframes set 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 knowledge or 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, 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

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