LA California Certified Coding and Billing Specialist for Litigation

17 hours, 10 minutes ago
Full-time
Senior
Finance and Accounting
Dane Street

Dane Street

Dane Street provides independent medical examination and peer review services tailored for the insurance industry, focusing on areas such as workers' compensation, disability, and auto liability, while emphasizing quality, compliance, and timely delive...

Insurance
251-1K
Founded 2008

Description

  • Perform detailed audits using ICD-10-CM, CPT, and HCPCS coding systems.
  • Conduct utilization reviews for medical necessity and documentation compliance.
  • Review and prepare demand packages and audit response materials.
  • Analyze medical records related to payer disputes and recoupments.
  • Prepare written audit findings and defensible reports.
  • Provide support for depositions and expert testimony as needed.
  • Review evaluation and management services under 2021+ guidelines.
  • Interpret CMS, LCD/NCD, and payer-specific policies.
  • Identify compliance risks and documentation vulnerabilities.

Requirements

  • Must reside in California and have California-based coding experience.
  • Active CPC certification through the American Academy of Professional Coders (AAPC).
  • At least 5 years of professional medical coding experience.
  • Prior experience conducting coding audits and utilization reviews.
  • Strong understanding of medical necessity, documentation compliance, and payer audit defense.
  • Experience supporting legal cases, depositions, or expert testimony preferred.
  • Counter-affidavit experience preferred.
  • CPMA certification preferred.
  • Excellent written documentation and reporting skills.
  • Ability to work independently and meet deadlines.

Benefits

  • Medical, dental, and vision coverage for employees and families.
  • Voluntary life, hospital indemnity, critical illness, accident, and pet insurance options.
  • Employer-paid basic life, short-term disability, and long-term disability coverage.
  • Generous paid time off.
  • 401(k) plan with company match.
  • Remote workspace support, including Apple equipment and a media stipend.

Interested in this position?

Apply directly on the company website

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