Job Description
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.
**CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED**
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.
+ C...