We're a small healthcare technology company running a validation study, and we need a credentialed coder to be our independent answer key.
We've built software that checks medical bills against insurers' published negotiated prices. Before we trust it — or ask anyone else to — we want an experienced human to audit the same bills from scratch, without seeing what our software concluded. Then we compare notes.
The work:
Audit 5 real, consented patient bills: a mix of physician and hospital/facility bills, marketplace and employer plans, at least one with a denial attached. You'll receive the itemized bill, the matching EOB, and the member's plan documents.
For each bill, produce a written workup: whether billed codes are supported, any duplicates/unbundling/modifier or units issues, revenue code and chargemaster concerns on the facility bill, whether the allowed amount matches plan terms, what the patient actually owes, and your read on any denial (CARC/RARC).
Mark each finding as certain, probable, or unresolvable. "I can't tell from these documents" is a genuinely useful answer here.
Join one recorded 90-minute video debrief after all five workups are delivered, where we compare your findings with the software's.
This is a blind review. You won't see our software's output until your workup is done, and nobody here will hint at it. Your independence is the entire value of the engagement. We're not looking for agreement — we're looking for your professional judgment, and disagreement is a useful result.
Skills/Requirements:
Active CPC (AAPC) or CCS (AHIMA) — include your credential number in your proposal
5+ years coding and auditing commercial claims
Both professional and facility experience (revenue codes, chargemaster) — the hospital bill is where we most need depth
Solid command of EOBs, payer policy, and denial codes
The ability to explain your reasoning in writing, clearly
Logistics: Work happens in late September 2026; debrief the first week of October. You'll sign an NDA. All patient documents move through a secure channel we provide — never email or personal cloud storage. Records are de-identified wherever the review doesn't require the detail.
If this goes well there's follow-on work in 2027 reviewing appeal letters, and eventually a full-time quality role.
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