Job Description

Position Summary

We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards . The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk.

Key Responsibilities

• Review incoming medical bills for completeness and accuracy.
• Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation.
• Ensure coding aligns with state regulations , payer-specific rules , and company policies .
• Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
• Collaborate with billing, claims, and compliance teams to resolve coding-related issues.
• Stay updated with coding changes, fee schedules, and relevant state legislation.
• Support audits and internal reviews as needed.

Qualifications

• Certification: CPC, CCS, or equivalent required.
• Minimum 3-5 years of experience in medical coding, preferably in a workers’ compensation or physical medicine environment.
• Strong understanding of state-specific billing guidelines and medical coding compliance .
• Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity).
• High attention to detail, strong analytical skills, and ability to meet deadlines.

Preferred Skills

• Experience working with workers’ compensation clams .
• Familiarity with NCCI edits and payer-specific rules .

If you are interested, please share your resume at sjain@pksi.com

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