Role Description
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.
• 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.
Qualifications
• 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.
Benefits
• Medical, dental & vision.
• Critical Illness, Accident, and Hospital.
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available.
• Life Insurance (Voluntary Life & AD&D for the employee and dependents).
• Short and long-term disability.
• Health Spending Account (HSA).
• Transportation benefits.
• Employee Assistance Program.
• Time Off/Leave (PTO, Vacation or Sick Leave).
Job Type & Location
This is a Contract to Hire position based out of Dallas, TX.
This is a fully remote position.
Application Deadline
This position is anticipated to close on Mar 31, 2026.