RN or LPN Certified Professional Coder (CPC)
Company Overview
Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier.
Position Summary
We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical, independent, and has strong communication skills. This role blends clinical expertise, medical coding precision, legal documentation skills, and a strong eye for detail. You will play a key part in auditing medical bills and records, preparing affidavits and affirmations, and supporting our clients through the claims and litigation process.
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Key Responsibilities:
• Review, analyze, and audit medical bills to ensure validity, accuracy, and compliance with various fee schedules.
• Analyze medical records to evaluate the care provided and the claimant’s medical status.
• Examine medical records for issues, omissions, discrepancies, and standard-of-care concerns.
• Conduct research using medical journals and clinical resources to support case findings.
• Draft clear, concise, and legally sound affirmations and affidavits adhering to regulatory and organizational standards for arbitration and litigation purposes.
• Develop detailed case summaries, medical timelines, and organize medical evidence for client use.
• Ensure coding and charges are fully supported by clinical documentation.
• Potentially testify in legal proceedings regarding audits and affidavits.
• Maintain high standards of documentation and confidentiality at all times.
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Qualifications:
• Certified Professional Coder (CPC) Certification (AAPC) Required
• Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) Preferred
• Strong knowledge of ICD-10 coding standards
• 2+ years of coding and medical record review experience preferred
• Experience with Workers' Compensation, No-Fault Insurance, DRGs, and EAPGs - Required
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Skills and Attributes:
• High level of integrity, dependability, and attention to detail
• Strong analytical, researching, and critical-thinking abilities
• Excellent written, verbal, and interpersonal communication skills
• Proficiency with Microsoft Office (Word, Outlook, Excel)
• Outstanding time management and independent work capabilities
• Ability to multitask, prioritize, and meet strict deadlines
• Adaptable and quick to learn new applications and processes
• Comfortable educating attorneys and legal teams about medical issues
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
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Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
