[Hiring] Certified Coding and Billing Specialist @Dane Street, LLC

Role Description

We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. The ideal candidate must have strong CA based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred.

• Must reside in California and have litigation experience.
• Provide litigation support including deposition and testimony services when needed.
• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS).
• Conduct utilization reviews to determine medical necessity and documentation compliance.
• Review and prepare demand packages and audit response materials.
• Analyze records for payer disputes and recoupments.
• Prepare written audit findings and defensible reports.
• Provide expert support for depositions and testimony as needed.
• Review E/M services under 2021+ guidelines.
• Interpret CMS, LCD/NCD, and payer-specific policies.
• Identify risk areas and compliance vulnerabilities.

Qualifications

• Active CPC certification through the American Academy of Professional Coders (AAPC).
• CPMA preferred.
• Minimum 5 years of professional coding experience.
• Prior audit and utilization review experience required.
• Experience supporting legal cases, depositions, or expert testimony strongly preferred.
• Excellent written documentation and reporting skills.
• Ability to work independently and meet deadlines.

Benefits

• Comprehensive benefits package designed to support well-being and peace of mind.
• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Generous paid time off policy.
• 401k plan with a company match.
• Apple equipment and a media stipend for remote workspace.

Company Description

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful 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 Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.