Medical Reviewer, Certified Coder
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.
Education/Certification
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
Location: Remote (United States)
Salary: $45,000-60,000
...Do you have a passion for creating events and making long-lasting memories for your clients? Mugwump Productions is seeking an Assistant Project Manager! What is in... ...Opportunity to develop your talent and grow within our company Complementary tickets to events including...
...Job Title: Monitor Technician Location: Baltimore, MD Duration: 13 Weeks Contract Shift: Night & Days (both shift... .... Requirements: Minimum 1 year of Monitor Tech / Cardiac Telemetry experience BLS Certification required...
...Maintain all logbooks and administrative files as required by policy and the client. Prepare written reports and logs to include security survey reports. Requirements Active Top Secret Clearance High School Diplomaor Higher Three (3) years of applicable...
...meet schools and communities hungry for enrichment. Whether it's arts & crafts, skateboarding, breakdancing, or STEM through the lens... ...network, you will be matched with opportunities to teach various creative arts classes toK-12 studentsat schools, buildings, and...
...General production Worker - $20.89 ($3 raise after 90 days) HIRING IMMEDIATDLY Job Summary A wellknown Manufacturing & Production company in Springfield, MO is hiring Production Workers to join their team immediately. If you have production experience and want...