Medical Bill Coder

Pegasus Knowledge Solutions, Inc.; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare solutions provider is hiring a Medical Bill Coder to ensure accuracy in coding and compliance with regulations. The ideal candidate will review medical bills, assign codes, and collaborate with teams to improve billing efficiency. This full-time remote position is ideal for detail-oriented professionals with 3-5 years of coding experience.

Qualifications

• Minimum 3-5 years of experience in medical coding.
• Strong understanding of state-specific billing guidelines.
• Proficiency with EHR systems and coding software.

Responsibilities

• Review incoming medical bills for completeness and accuracy.
• Assign proper CPT, ICD-10, and HCPCS codes based on records.
• Identify and correct coding discrepancies.

Skills

Attention to detail

Analytical skills

Education

Certification: CPC, CCS, or equivalent

Tools

EHR systems

coding software (e.g., EncoderPro, Availity)

Job description

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Direct message the job poster from Pegasus Knowledge Solutions, Inc.

Talent Acquisition Specialist at Pegasus Knowledge Solutions

Job Title : Medical Bill Coder

Location : Remote

Type : Full-time

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 MedRisk 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 claims.
• Familiarity with NCCI edits and payer-specific rules.

847-201-6116

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development, Information Technology, and Consulting

• Industries

  Medical Practices, Hospitals and Health Care, and Health and Human Services

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