Medical Coding Using Ai Jobs in Ridgefield Park, NJ

We are sharing a specialised part-time consulting opportunity for professionals experienced in revenue cycle management, medical billing, medical coding, prior authorization, payer policy, denial review, and structured healthcare reimbursement workflows.

This role supports current and upcoming remote consulting opportunities focused on structured revenue cycle review, billing workflow analysis, medical coding assessment, prior authorization documentation, payer correspondence, denial and appeal review, and high-quality project execution. Selected professionals will apply their revenue cycle expertise to review realistic healthcare reimbursement scenarios, evaluate documentation requirements, prepare structured written outputs, and support accurate, evidence-based revenue cycle workflow tasks.

Key Responsibilities

Professionals in this role may contribute to:

Eligibility, Prior Authorization & Charge Review

• Review revenue cycle scenarios involving eligibility verification, prior authorization, payer responses, charge entry, source documentation, and front-end billing workflows
• Evaluate eligibility and prior authorization outputs against payer rules, documented responses, required fields, and healthcare documentation requirements
• Support structured review of charge entry materials, encounter documentation, claim preparation, and billing workflow outputs
• Identify missing information, documentation gaps, incorrect charge details, and expected reimbursement workflow outcomes

Medical Coding & Claim Documentation

• Review coding scenarios involving ICD-10, CPT, HCPCS, modifier selection, coded encounters, claim forms, and source-supported code sets
• Evaluate coding decisions against documented clinical information, coding rules, modifier requirements, and payer expectations
• Support structured review of billing records, coded encounters, claim forms, coding notes, and reimbursement documentation
• Prepare clear written explanations for coding and billing decisions based on source materials and verifiable criteria

Denials, Appeals & Payer Correspondence

• Review denial scenarios involving root cause analysis, payer policy, appeal documentation, claim outcomes, and payer correspondence
• Evaluate denial appeals against documented payer rules, policy references, required evidence, and known claim outcomes
• Support structured review of appeal letters, denial analyses, payer communications, claim history, and reimbursement support materials
• Maintain accuracy, consistency, and professional judgment across submitted work

Ideal Profile

Strong candidates may have:

• 3+ years of experience in revenue cycle management, medical billing, medical coding, denials management, prior authorization, claims follow-up, payer policy review, or related healthcare reimbursement roles
• Experience with one or more areas such as ICD-10 coding, CPT coding, HCPCS coding, modifier selection, denial appeals, prior authorization, charge entry, payer correspondence, or Medicare and commercial payer policy
• Familiarity with EHR or billing workflows using systems such as Epic, Cerner, athenahealth, eClinicalWorks, Meditech, NextGen, AdvancedMD, or similar platforms
• Comfort reading and preparing revenue cycle artifacts such as coded encounters, claim forms, denial appeals, payer correspondence, prior authorization records, charge entry notes, and billing documentation
• Strong written communication skills and ability to explain revenue cycle decisions clearly
• Ability to follow structured instructions and produce evidence-based work

Educational Background

• A degree or professional background in health information management, medical billing, medical coding, healthcare administration, revenue cycle management, nursing, business administration, or a related field is helpful
• Equivalent practical experience in medical billing, coding, denials management, prior authorization, payer policy, or revenue cycle workflows is also highly relevant

Nice to Have

• CPC, CCS, COC, RHIT, RHIA, CPB, CRC, or equivalent coding, billing, or health information credential
• Experience with denials and appeals, payer policy interpretation, prior authorization workflows, coding audits, or claim correction processes
• Familiarity with Medicare, commercial payer policies, ICD-10, CPT, HCPCS, modifier rules, claim forms, or reimbursement documentation
• Experience preparing or reviewing coded encounters, claim forms, denial appeals, payer correspondence, prior authorization documentation, or billing records
• Strong attention to detail in documentation-heavy and reimbursement-focused healthcare workflows

Why This Opportunity

• Apply revenue cycle, billing, and coding expertise to structured remote project work
• Contribute to high-quality billing workflow review, coding assessment, denial analysis, and payer documentation support
• Work on flexible, project-based assignments aligned with your professional background
• Use your revenue cycle judgment in a focused, detail-oriented consulting environment
• Remote structure with competitive hourly compensation

Contract Details

• Independent contractor role
• Fully remote with flexible scheduling
• Part-time commitment depending on project availability
• Competitive rates between $50–$75 per hour depending on expertise
• Weekly payments via Stripe or Wise
• Projects may be extended, shortened, or adjusted depending on scope and performance
• Work will not involve access to confidential or proprietary information from any employer, client, or institution

About the Platform

This opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.

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