Medical Bill Coder / Bill Reviewer / audits from a Payer side. (Insurance company side)
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
Medical Bill Coder / Bill Reviewer / audits from a Payer side. (Insurance company side)
Medical Bill Coder / Bill Reviewer / audits from a Payer side. (Insurance company side)
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Direct message the job poster from Pegasus Knowledge Solutions, Inc.
Talent Acquisition Specialist at Pegasus Knowledge Solutions
Job Title : Medical Bill Coder
Location : Remote
Type : Full-time
Position Summary
We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk.
Key Responsibilities
• Review incoming medical bills for completeness and accuracy.
• Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation.
• Ensure coding aligns with state regulations, payer-specific rules, and MedRisk policies.
• Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
• Collaborate with billing, claims, and compliance teams to resolve coding-related issues.
• Stay updated with coding changes, fee schedules, and relevant state legislation.
• Support audits and internal reviews as needed.
Qualifications
• Certification: CPC, CCS, or equivalent required.
• Minimum 3-5 years of experience in medical coding, preferably in a workers’ compensation or physical medicine environment.
• Strong understanding of state-specific billing guidelines and medical coding compliance.
• Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity).
• High attention to detail, strong analytical skills, and ability to meet deadlines.
Preferred Skills
• Experience working with workers’ compensation claims.
• Familiarity with NCCI edits and payer-specific rules.
Criteria for this role is :
Billing coder and reviewers with experience in Workers compensation
Who has done Bill coding / review / audits from a Payer side. (Insurance company side)
847-201-6116
Seniority level
• Seniority level
Mid-Senior level
Employment type
• Employment type
Full-time
Job function
• Job function
Business Development, Information Technology, and Consulting
• Industries
Medical Practices, Hospitals and Health Care, and Health and Human Services
Referrals increase your chances of interviewing at Pegasus Knowledge Solutions, Inc. by 2x
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Medical Bill Coder / Bill Reviewer / audits from a Payer side. (Insurance company side)
Get AI-powered advice on this job and more exclusive features.
Direct message the job poster from Pegasus Knowledge Solutions, Inc.
Talent Acquisition Specialist at Pegasus Knowledge Solutions
Job Title : Medical Bill Coder
Location : Remote
Type : Full-time
Position Summary
We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk.
Key Responsibilities
• Review incoming medical bills for completeness and accuracy.
• Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation.
• Ensure coding aligns with state regulations, payer-specific rules, and MedRisk policies.
• Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
• Collaborate with billing, claims, and compliance teams to resolve coding-related issues.
• Stay updated with coding changes, fee schedules, and relevant state legislation.
• Support audits and internal reviews as needed.
Qualifications
• Certification: CPC, CCS, or equivalent required.
• Minimum 3-5 years of experience in medical coding, preferably in a workers’ compensation or physical medicine environment.
• Strong understanding of state-specific billing guidelines and medical coding compliance.
• Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity).
• High attention to detail, strong analytical skills, and ability to meet deadlines.
Preferred Skills
• Experience working with workers’ compensation claims.
• Familiarity with NCCI edits and payer-specific rules.
Criteria for this role is :
Billing coder and reviewers with experience in Workers compensation
Who has done Bill coding / review / audits from a Payer side. (Insurance company side)
847-201-6116
Seniority level
• Seniority level
Mid-Senior level
Employment type
• Employment type
Full-time
Job function
• Job function
Business Development, Information Technology, and Consulting
• Industries
Medical Practices, Hospitals and Health Care, and Health and Human Services
Referrals increase your chances of interviewing at Pegasus Knowledge Solutions, Inc. by 2x
Get notified about new Medical Coder jobs in United States.
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Texas, United States $68,000.00-$78,000.00 2 weeks ago
CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE (23348)
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. Apply tot his job