Third Party Billing Reviewer

A company is looking for a Third Party Reviewer to conduct thorough and accurate reviews of healthcare billing and claims documentation. Key Responsibilities Review medical claims and billing documentation for accuracy and compliance with regulations Identify potential compliance issues and conduct audits to ensure adherence to industry regulations Analyze claim denials and recommend corrective actions to prevent future issues Required Qualifications High School Diploma or Equivalent required 1-2 years of experience in medical billing, claims processing, or coding preferred In-depth knowledge of coding systems and billing requirements Familiarity with compliance regulations such as HIPAA and CMS guidelines Proficiency in using billing software and electronic health record (EHR) systems

Created: 2026-03-05