About the Role
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 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.
This role is not coding-heavy. You will use your coding knowledge to interpret and validate claims, not to perform traditional coding tasks.
What You’ll Do
- 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.
Job Type & Location
Contract-to-hire position based out of Jacksonville, FL.
Fully remote position.
Requirements
- CPC or CPC-A certification required.
- 2–3 years of medical collections experience, with denials/appeals experience required.
- Previous medical coding experience will not be considered.
- Familiarity with emergency services billing is a plus.
- Strong attention to detail and ability to make objective decisions.
- Adaptability and eagerness to contribute to a newly built team.
Benefits
- Medical, dental, and vision coverage
- Critical illness, accident, and hospital coverage
- 401(k) retirement plan with pre-tax and Roth post-tax contributions
- Voluntary life insurance and AD&D for employee and dependents
- Short- and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time off/leave options, including PTO, vacation, or sick leave
Location
Jacksonville, Florida, US
Employment Type
Contractor
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 week ago