Remote Medical Claims Specialist - CPC Required

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.

What You Bring

• CPC or CPC-A certification (required).
• 2-3 years of Medical Collection/Billing experience - must have experience with denials/appeals (required).
• Strong attention to detail and ability to make objective decisions.
• Adaptability and eagerness to contribute to a newly built team.

Why You’ll Love It

• Be part of a federally certified IDR entity with a permanent increase in business volume.
• Gain exposure to high-impact healthcare legislation (No Surprises Act).
• Work in a supportive environment that values entry-level talent and provides growth opportunities.
• Help shape the future of fair medical billing practices.

Job Type & Location

This is a Contract to Hire position based out of Nashville, TN.

Pay And Benefits

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

Requirements

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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 9, 2026.