TEKsystems
Rockford, IL, USA
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.
Note: This is not a coding-heavy role. You'll use your coding...