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Dane StreetDS

Medical & Billing Coder - Texas

Dane Street is a national provider of Independent Medical Examinations (IMEs) and Peer Review services for the insurance and legal industries, focused on delivering credible, objective, and timely medical analyses.

Dane Street

Employee count: 51-200

United States only

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.

Job Summary:

A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.

Core Duties & Responsibilities:

  • Evaluates the appropriateness of codes and determine whether they meet all established program standards.
  • Ensures that the medical records are matched appropriately to the codes and if not, obtains them.
  • Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.
  • Evaluates claims for conflict of interest and criteria appropriateness.
  • Works within established timeframes set by program parameters.
  • Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.
  • Provides clinical oversight to cases that are complex and need additional review prior to return to the client.
  • Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.

Requirements

Required Education & Experience:

  • Must have a CPC, APCC, or DRG coder certification
  • 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 in a medical office or health care background.
  • CPC, CCS, or CCA certification is preferred, but not required
  • Experience is a must
  • Must have access to your own billing references/engine
  • Deposition/Testimony experience is preferred, but not required
  • Extensive knowledge of Texas billing resources- for example: ( FairHealth, Medicaid Texas, Texas Healthcare, etc.)
  • Coding counter-audit experience is a plus

Required Skills:

● Must work with a sense of urgency and meet deadlines.

● Must be self-motivated, with a strong drive for performance excellence.

● Excellent written and verbal communication skills are required.

● Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).

● Attention to detail REQUIRED.

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that

Dane Street will never conduct an interview via text or request checks from candidates

for purchasing equipment.

Benefits

We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply!

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking

insightful, astute forward-thinking professionals. We process over 200,000 insurance

claims annually for leading national and regional Workers’ Compensation, Disability,

Auto and Group Health Carriers, Third-Party Administrators, Managed Care

Organizations, Employers and Pharmacy Benefit Managers. We provide customized

Independent Medical Exam and Peer Review programs that assist our clients in

reaching the appropriate medical determination as part of the claims management

process.

About the job

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Posted on

Job type

Temporary

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Dane Street

Learn more about Dane Street and their company culture.

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Dane Street is a leading provider of independent medical examinations (IMEs) and peer review services, dedicated to serving clients across the insurance and legal sectors. Our customers, including insurance carriers, third-party administrators, managed care organizations, and legal professionals, face the challenge of making accurate and objective medical determinations in claims management. We understand that navigating the complexities of workers' compensation, auto/liability, disability, and group health claims requires credible, timely, and unbiased medical expertise. That's why we've built a national network of board-certified, active-practice physicians covering over 100 specialties. Our sole mission is to provide our clients with the critical insights they need to ensure fair and appropriate outcomes. We process over 200,000 referrals annually, a testament to the trust our clients place in our ability to deliver high-quality, defensible medical reviews.

At Dane Street, we are committed to simplifying the referral process and making it as seamless as possible for our clients. Our proprietary technology platform, AccessDS, is a web-architected, rules-based system that allows for easy case submission, tracking, and reporting. We recognize that our clients have unique needs, which is why our platform is highly configurable to accommodate specific workflows and requirements. This focus on technology-enabled flexibility, combined with our dedicated team of professionals, ensures we consistently meet the highest expectations for turnaround time, quality, and responsiveness. We pride ourselves on being more than just a vendor; we strive to be a trusted partner, functioning as a natural and valuable extension of our clients' internal teams. Our commitment is to 'finish the job' on every case, providing the objective analysis necessary for confident decision-making in the claims process.

Employee benefits

Learn about the employee benefits and perks provided at Dane Street.

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Pet Insurance

Voluntary pet insurance plans.

Basic Life Insurance

Company-paid basic life insurance.

Critical Illness

Voluntary critical illness insurance plan.

Long-Term Disability

Company-paid long-term disability coverage.

View Dane Street's employee benefits
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Dane Street

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Dane Street hiring Medical & Billing Coder - Texas • Remote (Work from Home) | Himalayas