Medical Bill Coder Job at Pegasus Knowledge Solutions, Inc., Chicago, IL

MFBydDZXdnAvZzY4SmUwTjk1UmZtZU11akE9PQ==
  • Pegasus Knowledge Solutions, Inc.
  • Chicago, IL

Job Description

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 company 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 clams .
  • Familiarity with NCCI edits and payer-specific rules .

If you are interested, please share your resume at sjain@pksi.com

Job Tags

Similar Jobs

STS Technical Services

Aircraft Teardown Mechanic Job at STS Technical Services

 ...STS Technical Services is seeking an Aircraft Teardown Mechanic to join our team in Cedar Hill, Texas. If you have experience in mechanical assembly and are ready to play a critical role in the aircraft repair process, this opportunity is for you.Job OverviewAs an Aircraft... 

Mid-Hudson Security Consultants, LLC

SG2 Armed Security Guard Retired Police Officer Job at Mid-Hudson Security Consultants, LLC

 ...~ Opportunity for advancement ~ Paid time off ~ Training & development ~ Wellness resources ~ MUST be a retired law enforcement officer (police, military or corrections). ~ MUST have a NYS armed security guard license or be able to apply for a training waiver... 

eTeam

Python Developer Job at eTeam

 ...Python Developer Job Location: Fort Worth, TX 76155 Hybrid role: 3 days onsite, 2 days remote Job Type: Contract, 6 Months contract Looking for 3-5 years experience in most of the following: Python Development React Development +++ Postgres DB Kubernetes Github Actions... 

Tria Wash West

Support/Host/Wine Lover Job at Tria Wash West

 ...Description Job Description Welcome to Tria! Our two Center City wine bars have helped elevate Phillys wine scene while keeping it...  ...restaurants by taking a leadership role in reshaping how our industry values employees. To that end, Tria has implemented The Tria... 

Charlie Health

Finance Analyst / Associate Job at Charlie Health

 ...care they deserve, we'd love to meet you. About the Role As a Finance Analyst / Associate, you will have the unique opportunity to...  ...services (e.g., Financial or Management Consulting, Investment Banking, Private Equity) and highly analytical roles at a high growth venture...