Join a federally certified Independent Review Organization supporting healthcare claim disputes and fair payment outcomes under the No Surprises Act.
You will review and validate claim data, analyze CPT codes and supporting documentation, and help determine the correct party in disputed emergency services claims, including ambulance and air ambulance cases.
This role is not coding-heavy. It focuses on interpreting claims and applying coding knowledge to support payment review decisions.
Requirements & Qualifications
- CPC or CPC-A certification required
- 2–3 years of medical collections experience
- Experience with denials and appeals required
- Familiarity with emergency services billing is a plus
- Strong attention to detail and objective decision-making
- Ability to adapt and work in a newly built team
- Candidates with previous medical coding experience will not be considered
Benefits & Perks
- Medical, dental, and vision coverage
- Critical illness, accident, and hospital insurance
- 401(k) retirement plan with pre-tax and Roth post-tax contributions
- Life insurance for employee and dependents
- Short- and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- PTO / vacation / sick leave
Location
Houston, Texas, US
Employment Type
Contractor
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 week ago