Medical Coder

Akkodis; Pittsburgh (Allegheny County); Remote; USD 10,000 - 60,000; Full time

Job summary

An innovative healthcare compliance organization is seeking a Dispute Resolution Reviewer for a fully remote contract-to-hire position. This role is perfect for detail-oriented professionals with experience in medical coding, billing, and insurance claims. You will review Explanation of Benefits and resolve disputes while utilizing your knowledge of coding and payer-side processes. Join a dynamic team where your expertise will make a significant impact in a structured yet fast-paced environment. If you're ready to take your career to the next level, this opportunity is for you.

Benefits

Paid Time Off

Holidays Time Off

401(k)

Professional Development

Tuition Reimbursement

Qualifications

• 1+ year experience in medical coding or billing required.
• Ability to read and interpret EOBs and medical claim language.
• Familiar with dispute resolution and healthcare regulations.

Responsibilities

• Review EOBs and appeals under the No Surprises Act.
• Resolve disputes related to out-of-network provider charges.
• Handle 24+ insurance dispute cases per day.

Skills

Medical Coding

Medical Billing

Insurance Claims Handling

Attention to Detail

Problem-Solving

Education

Associate's Degree in Medical Billing/Coding

Tools

Microsoft Excel

Microsoft Word

CMS IDR Portal

Job description

Get AI-powered advice on this job and more exclusive features.

Job Title: Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert) Location: 100% Remote

Pay Rate: $29/hour on W-2 (Contract-to-Hire)

Schedule: M–F, 8-hour shifts (Core hours: 9am–3pm ET)

Akkodis is hiring a Dispute Resolution Reviewer for a fully remote contract-to-hire opportunity with a leading healthcare compliance organization. This role is ideal for professionals with medical coding, medical billing, and insurance claims experience at a health plan (e.g., Humana, BCBS, UnitedHealthcare).

If you're detail-oriented, tech-savvy, and enjoy problem-solving in a structured yet fast-paced environment, this role offers a great opportunity to apply your coding and payer-side experience in a meaningful way.

Job Responsibilities:

1. Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act.
2. Resolve disputes related to out-of-network provider charges by following detailed internal policies.
3. Research service codes, fees, and coverage policies using digital tools and online databases.
4. Use your knowledge of remark codes, CPT codes, and medical service codes to make impartial and binding recommendations.
5. Handle 24+ insurance dispute cases per day, documenting decisions accurately in the CMS IDR Portal.

Desired Qualifications:

• 1+ year of experience in medical coding or billing (required).
• Experience handling insurance claims from the payer side (e.g., Humana, BCBS, Aetna).
• Ability to read and interpret EOBs, remark codes, and medical claim language.
• Familiar with dispute resolution, appeals processes, and healthcare regulations.
• Medicaid experience is a plus.
• Comfortable using tools like Microsoft Excel, Word, and the CMS IDR Portal.
• Associate’s degree preferred but not required if you have 3+ years of total medical billing/coding experience.

Ideal Candidate Background:

• Has worked as a medical claims analyst, coding specialist, insurance appeals coordinator, or similar role.
• Comes from a health plan or third-party administrator (TPA).
• Understands the logic behind coverage decisions and coding disputes—not just how to code, but why codes matter.

If you're a medical billing specialist or insurance coding professional ready to leverage your knowledge in a high-impact, remote role, click APPLY NOW.

Equal Opportunity Employer/Veterans/Disabled

Benefits include but are not limited to:

• Paid time off
• Holidays time off
• 401(k)
• Professional development and tuition reimbursement

Policy Disclaimer: To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.akkodis.com/en/privacy-policy

Seniority level

• Associate

Employment type

• Full-time

Job function

• Administrative, Accounting/Auditing, and Other

Industries

• Insurance and Employee Benefit Funds and Hospitals and Health Care

Referrals increase your chances of interviewing at Akkodis by 2x

Get notified about new Medical Coder jobs in Pittsburgh, PA.