Medical Review Specialist

Medlogix

. Review medical bills and documentation according to guidelines and company policies and procedures .

Posted 10/7/2026full-timeRemote • Michigan • United StatesSeniorLead💰 $24 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding, including CPT and ICD-10, with a strong focus on Michigan Workers' Compensation claims and medical bill repricing. Provides exceptional customer service and maintains high productivity and quality standards in bill review processes.

Highest-signal resume keywords

Certified Professional CoderMedical Coding ExperienceMichigan Workers' Compensation ExperienceMedical Bill RepricingMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingMedical Bill ReviewUtilization ReviewReimbursement RecommendationsIndependent Medical EvaluationsMedical Documentation AssessmentClinical Knowledge ApplicationProblem-SolvingKeyboarding Skills

Soft Skills

Strong Verbal SkillsInterpersonal SkillsOrganizational SkillsInitiativeCreativity

Tools & Technologies

Microsoft Office ProductsStandard Office EquipmentPC Skills

Certifications & Qualifications

Certified Professional Coder

Industry Keywords

Medical BillingWorkers' CompensationBill RepricingQuality StandardsCustomer Service

About the role

Key responsibilities & impact

Review medical bills and documentation according to guidelines and company policies and procedures
Determine whether treatment is related and necessary to the covered injury
Assess appropriate use of medical coding
Identify over-utilization of treatment and make appropriate reimbursement recommendations for Michigan Workers' Compensation claims
Provide customer service to adjusters, providers, and claimants regarding bill review
Assess appropriateness and duration of care for possible utilization review
Recommend independent medical evaluations (IME) to adjusters when necessary
Act as a resource to other staff members to facilitate completion of a quality product
Use appropriate reference material to perform professional review
Meet company productivity and quality standards
Maintain quality, timeliness, and customer service for assigned accounts

Requirements

What you’ll need

Certified Professional Coder required
1+ years medical coding experience (CPT, ICD-10) preferred
1+ years’ experience in Medical Bill Repricing preferred
Michigan Workers' Compensation experience preferred
Ability to apply clinical knowledge and/or coding expertise in bill review
Ability to read, write, speak, and understand English well
Ability to understand and follow written and oral instructions
Strong verbal and interpersonal skills
Ability to multi-task
Problem-solving skills
Ability to sit for long periods at a computer terminal keyboarding
PC skills required
Knowledge of Microsoft Office Products required
Ability to operate standard office equipment including telephone
Initiative, drive, creativity and persistence
Good organizational skills
Highest professional ethics
Ability to work independently