Medical Coding Analyst

TEKsystems•Houston, TX
•$25 - $25•Remote

About The Position

The Medical Coding Analyst supports a growing healthcare review operation focused on payment determinations and dispute resolution. The role reviews healthcare claims and supporting documentation, analyzes coding and reimbursement information, validates claim data, and applies established guidelines to make objective payment recommendations. Reviews may involve emergency services, ambulance services, air ambulance, and other healthcare provider claims. The analyst documents findings in internal case management systems and maintains productivity and quality standards while managing a high-volume workload. The position is fully remote, based out of Houston, Texas, and is described as a long-term contract opportunity. The schedule is Monday through Friday, 8:00 AM to 4:30 PM CST, and the pay rate is $25.00 per hour.

Requirements

  • Active CPC or CPC-A certification.
  • Understanding of medical billing, coding, reimbursement, and insurance claims processes.
  • Strong analytical and critical-thinking skills.
  • Experience reviewing EOBs (Explanation of Benefits).
  • Excellent attention to detail and ability to work independently.
  • Strong written communication and documentation skills.
  • Comfort navigating multiple systems and databases.

Nice To Haves

  • Experience with appeals, claim reviews, or reimbursement analysis.
  • Knowledge of emergency medicine, ambulance, or air ambulance billing.
  • Familiarity with the No Surprises Act (NSA) and healthcare payment dispute processes.
  • Professional or facility coding background.
  • Medical billing experience combined with CPC-A certification.
  • Adaptability and willingness to grow within a developing team environment.

Responsibilities

  • Review healthcare claims and supporting documentation to facilitate payment determinations.
  • Analyze claim information, CPT codes, reimbursement details, and insurance documentation.
  • Validate and verify claim data for accuracy and completeness.
  • Research case information and apply established guidelines to make objective payment recommendations.
  • Review disputes involving emergency services, ambulance services, air ambulance, and other healthcare provider claims.
  • Document findings and rationale within internal case management systems.
  • Maintain productivity and quality standards while managing a high-volume workload.
  • Collaborate with team members and leadership in a fast-paced review environment.

Benefits

  • Company-provided equipment, including laptop, monitor, keyboard, mouse, and phone.
  • Structured onboarding and training program.
  • Supportive leadership and team-focused environment.
  • Opportunity to gain specialized experience in healthcare reimbursement and payment determination.
  • Long-term career growth potential within a rapidly expanding healthcare review operation.
  • If eligible, benefits for this temporary role may include medical, dental, and vision coverage; Critical Illness, Accident, and Hospital coverage; a 401(k) retirement plan with pre-tax and Roth post-tax contributions; voluntary life and AD&D insurance; short- and long-term disability; a Health Spending Account (HSA); transportation benefits; an Employee Assistance Program; and time off/leave, including PTO, vacation, or sick leave.
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