RN/LPN Certified Professional Coder (CPC)

Job Title: RN/LPN Certified Professional Coder (CPC)

Location: Remote (U.S. Based)

Type: Per Diem, 1099 Independent Contractor

Compensation: Paid per completed referral, based on complexity and affidavit requirements

________________________________________

Company Overview

At Managed Care Network, Inc., we specialize in delivering innovative, fast-turnaround solutions in the Property & Casualty (P&C) marketplace. We support attorneys, insurance carriers, and providers with high-quality forensic medical reviews rooted in accuracy, compliance, and legal defensibility. Our mission is to elevate claim strategy, support arbitration and litigation efforts, and advocate for the integrity of medical necessity and billing practices. We aim to be the best employer in by fostering an environment where our employees feel empowered, supported, and appreciated for the expertise and hard work they bring. Through our Thrive values, we encourage continuous professional growth while maintaining flexibility and work-life balance.

________________________________________

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.

________________________________________

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.

________________________________________

Qualifications:

• Certified Professional Coder (CPC) Certification (Required)
• Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) (Required)
• Certification in Medical Coding
• 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 (preferred)

________________________________________

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

________________________________________

Why Work With Us?

• 100% remote – work on your schedule
• Paid per completed case/referral
• Opportunities for expert testimony (additional compensation available)
• Supportive, knowledgeable team focused on innovation and integrity and streamlined workflows
• Meaningful work that directly impacts legal outcomes
• A culture rooted in respect, transparency, and professional growth

Experience:

• Coding and medical record review: 2 years (Preferred)
• Workers' compensation: 1 year (Preferred)
• DRG: 1 year (Preferred)
• EAPG: 1 year (Preferred)

License/Certification:

• Certified Professional Coder (CPC) certification (Required)
• Registered Nurse (RN) License (Preferred)
• Certification in Medical Coding (Preferred)

Work Location: Remote