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)
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Apply Now