Remote Certified Professional Coder/PIP Adjuster
Medlogix
Job Summary
Medlogix is hiring a Remote Certified Professional Coder/PIP Adjuster to review medical bills, evaluate CPT and HCPCS coding, analyze fee schedule compliance, and support insurance claim reimbursement decisions. This low-phone position focuses on medical coding review, documentation analysis, insurance claims support, and regulatory compliance.
Job Description
Medlogix is seeking a Remote Certified Professional Coder/PIP Adjuster to support medical bill review, coding analysis, reimbursement validation, and insurance claims processing activities. This full-time remote position plays an important role in helping insurance carriers, third-party administrators, and government entities improve claim accuracy, reduce unnecessary costs, and maintain compliance with medical billing regulations.
This Certified Professional Coder/PIP Adjuster role fits best as a low-phone position. Most daily responsibilities involve reviewing medical documentation, evaluating billing accuracy, interpreting coding requirements, analyzing reimbursement guidelines, and documenting review outcomes. Team members may participate in conference calls with customers or attorneys when necessary, but the majority of the work focuses on independent review and analysis rather than customer-facing phone activity.
Key responsibilities include reviewing medical bills related to motor vehicle accident claims, evaluating CPT, HCPCS, and ICD-10 coding accuracy, identifying unbundled services, validating modifier usage, applying fee schedule guidelines, and determining appropriate reimbursement outcomes. The role also requires reviewing medical documentation, interpreting coding standards, and using industry resources to support claim review decisions.
Additional duties include documenting review outcomes, supporting customer inquiries, participating in special projects, attending conference calls when needed, and potentially providing testimony regarding coding determinations. Team members must maintain a high level of accuracy while working within strict timelines and regulatory requirements.
Successful candidates possess strong knowledge of medical coding standards, healthcare documentation, reimbursement methodologies, fee schedule regulations, and insurance claims workflows. Experience with CPT, HCPCS, ICD-10 coding systems, medical bill review, PIP claims, and healthcare reimbursement analysis is essential for success in this position.
The role offers a salary range of $55,000 to $60,000 annually along with opportunities for future advancement as the department continues to expand. Medlogix provides a collaborative environment focused on innovation, accuracy, and continuous improvement within the medical claims industry.
Overall, this position is ideal for experienced medical coding professionals who enjoy documentation review, reimbursement analysis, coding compliance, healthcare claims support, and insurance-related medical bill review while working remotely.