Medical Coder

TEKsystems; Chicago (IL); Remote; USD 28,000 - 40,000; Part time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) Retirement Plan

Paid Time Off

Job summary

TEKsystems is seeking detail-oriented Medical Coders for a remote contract role focused on claim payment determinations. Candidates should hold an active CPC/CPC-A certification and have experience with EOBs and appeals processing.

The role emphasizes analysis of CPT codes and reimbursement methodologies, with a focus on NSA-related claim reviews. Responsibilities include reviewing claims, validating data, documenting payment rationales, and collaborating with teams to ensure timely resolutions

Qualifications

• Active CPC or CPC-A certification is required.
• Experience with EOBs and appeals processing is preferred.
• Understanding of CPT codes and insurance reimbursement methodologies.

Responsibilities

• Review medical claims and supporting documentation to determine payment outcomes.
• Analyze CPT codes, EOBs, and reimbursement data to support determinations.
• Validate and verify claim data for accuracy and completeness.
• Review disputes involving NSA-related services and ambulance billing.
• Document rationale for payment decisions per guidelines and regulations.
• Work within claims systems to process and review case files.
• Maintain productivity and quality while handling a high volume of cases.
• Collaborate with internal teams to ensure timely resolutions.

Skills

CPC CPC-A

CPT codes knowledge

Analytical skills

Problem solving

Job description

Location: 100% RemoteSchedule: Monday-Friday, 8:00 AM - 4:30 PM CST

About the Opportunity

Join a growing healthcare review organization that partners with government agencies, third-party administrators, insurance carriers, and self-funded employers to provide independent medical review services. Due to increased volume related to the No Surprises Act and ongoing case backlog projects, we are expanding our team and seeking detail-oriented Medical Coders to support claim payment determination reviews.

This is an excellent opportunity for individuals with an active CPC or CPC-A certification looking to build their healthcare coding and reimbursement knowledge in a unique, analytical role. While coding knowledge is required, this position focuses on claim review and payment determinations rather than performing medical coding.

Responsibilities

• Review medical claims and supporting documentation to determine appropriate payment outcomes.

• Analyze claim information, CPT codes, EOBs, and reimbursement data to support payment determinations.

• Validate and verify claim data for accuracy and completeness.

• Review disputes involving emergency services, ambulance services, air ambulance, and other healthcare claims.

• Document rationale for payment decisions in accordance with established guidelines and regulations.

• Work within internal claims management systems to process and review case files.

• Maintain productivity and quality standards while handling a high volume of cases.

• Collaborate with internal teams to ensure accurate and timely claim resolutions.

Qualifications

• Active CPC or CPC-A certification required.

• Experience working with EOBs (Explanation of Benefits) and appeals processing strongly preferred.

• Healthcare billing, medical coding, claims, or reimbursement experience preferred.

• Understanding of CPT codes and insurance reimbursement methodologies.

• Experience with emergency services, ambulance, or facility/professional billing is helpful but not required.

• Knowledge of the No Surprises Act (NSA) is a plus.

• Strong analytical, decision-making, and problem-solving skills.

• Ability to work independently in a fast-paced, production-driven environment.

• Comfortable learning new processes within a growing department.

Job Type & Location

This is a Contract position based out of Chicago, IL.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: 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)

Job Type & Location

This is a Contract position based out of Chicago, IL.

Application Deadline

This position is anticipated to close on Oct 26, 2026.

Workplace Type

This is a fully remote position.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.