If you’re a newer medical coder who wants to learn claim auditing, compliance, and pre-payment review in a structured environment, Acentra Health is hiring an Associate Medical Claims Reviewer. This is an entry-level role built for a CPC-A who’s ready to get reps in.
About Acentra Health
Acentra Health focuses on improving health outcomes through technology, services, and clinical expertise, with a big footprint in public-sector healthcare. Their “Lead the Way” culture is about ownership, problem-solving, and delivering clean work.
Schedule
- Full-time
- Remote within the United States
What You’ll Do
- Support the team and clients around billing, documentation policies, and clarification requests for vague or inconsistent documentation
- Audit charts and help adjudicate claims while meeting regulatory requirements and timelines
- Review claims before payment to support initial determinations
- Help identify irregularities or potential provider fraud during record audits
- Ensure billing aligns with CPT guidelines
- Help review potential issues like services not provided, misrepresented services, and policy compliance
- Support optimal reimbursement while staying compliant with federal/state regs and Medicaid policies
- Coordinate with Provider Support to resolve provider issues
- Research and respond to inquiries on compliance, coding issues, denials, and billable services
- Follow HIPAA policies and corporate standards, including CMMI processes
- Learn basic operations methodologies and understand SDLC/release processes (you won’t be coding, but you’ll work around systems)
What You Need
- 0–2 years of relevant work experience
- CPC-A certification (required)
- Current AAPC coding certification (required)
- Knowledge of medical coding and billing procedures
Preferred
- Strong customer service mindset and operational discipline
- Familiarity with auditing concepts, regulations, and medical terminology
- Strong attention to detail, analytical thinking, and problem-solving
- Comfortable communicating coding/compliance topics to providers and internal teams
- Working knowledge of Microsoft Office (especially Word/Excel); bonus for Visio, SharePoint, Webex/Skype
- Medicare/Medicaid or broader healthcare domain exposure
Benefits
- Health plans
- Paid time off
- Retirement savings
- Wellness programs
- Educational assistance
- Corporate discounts
- More standard benefits
Pay
- $20.00 – $26.00 per hour (final placement depends on experience/skill level)
Backbone note: if you don’t already have CPC-A (or your certification is lapsed), don’t waste time applying yet. Get that current first, then come back swinging.
Happy Hunting,
~Two Chicks…