**CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** 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.
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.
Note: This is not a coding-heavy role. You'll use your coding knowledge to interpret and validate claims, not to perform coding tasks.
What You Bring
* CPC or CPC-A certification (required).
* 2-3 years of Medical Collections experience - must have experience with denials/appeals (required)
* Familiarity with emergency services billing is a plus, but not required.
* *Strong attention to detail and ability to make objective decisions.*
* *Adaptability and eagerness to contribute to a newly built team.*
Why You'll Love It Here
* Be part of a federally certified IDR entity with a permanent increase in business volume.
* Gain exposure to high-impact healthcare legislation (No Surprises Act).
* Work in a supportive environment that values entry-level talent and provides growth opportunities.
* Help shape the future of fair medical billing practices.
Ready to make a difference in healthcare claims resolution? Apply now and bring your coding knowledge to a role that values precision, fairness, and impact.
*Job Type & Location*
This is a Contract to Hire position based out of Chicago, IL.
*Pay and Benefits*The pay range for this position is $25.00 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
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