Job Description
About the position Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a newly formed team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. Note: This is not a coding-heavy role. You’ll use your coding knowledge to interpret and validate claims, not to perform coding tasks. Responsibilities • Review and validate claim data to determine appropriate payment outcomes. • Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. • Work primarily with emergency services claims, including ambulance and air ambulance cases. • Operate within a proprietary claims management system. • Collaborate with internal teams to clear a significant backlog of cases. Requirements • CPC or CPC-A certification (required). • 2-3 years of Medical Collections or Billing experience (required) - Candidates with prior coding experience will not be considered • Experience working with EOBs and appeals is highly preferred. • Strong attention to detail and ability to make objective decisions. • Adaptability and eagerness to contribute to a newly built team. Nice-to-haves • Familiarity with emergency services billing is a plus, but not required. Benefits • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Apply tot his job Apply tot his job
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