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.

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