Entry Level Medical Coding Specialist

TEKsystemsRockford, IL
3d$25 - $25Remote

About The Position

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 newly formed 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. Note: This is not a coding-heavy role. You’ll use your coding knowledge to interpret and validate claims, not to perform coding tasks.

Requirements

  • CPC or CPC-A certification (required).
  • 2-3 years of Medical Collections or Billing experience (required) - Candidates with prior coding experience will not be considered
  • Experience working with EOBs and appeals is highly preferred.
  • Strong attention to detail and ability to make objective decisions.
  • Adaptability and eagerness to contribute to a newly built team.

Nice To Haves

  • Familiarity with emergency services billing is a plus, but not required.

Responsibilities

  • 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.

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)
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