Medical Coder

Overview

Medical Coder - Independent Dispute Review (IDR) – 100% Remote

Location:

Remote
• Pay Rate: $25.00/hour
•

Schedule:

Monday–Friday | 8:00 AM – 4:30 PM CST
• Duration:
Longterm contract (multiyear opportunity)

About the Opportunity:
We are partnering with a nationally recognized medical review organization that supports state and federal agencies, healthcare payers, and employers by providing independent, unbiased medical claim reviews. Due to the No Surprises Act and a permanent increase in claim volume, this team is expanding and building out a brand-new Independent Dispute Resolution (IDR) unit. This is a stable, longterm opportunity with consistent work and strong training support — ideal for a CPC or CPCA professional looking to grow their career beyond traditional coding roles.

In this role, you will not be coding charts. Instead, you’ll use your coding knowledge to make payment determinations on disputed medical claims.

Key responsibilities:

• Reviewing medical claims and supporting documentation to determine appropriate payment outcomes
• Evaluating CPT-based disputes where parties have not agreed on reimbursement
• Validating claim data and documentation, then selecting the appropriate party based on guidelines
• Reviewing high volumes of emergency-related services, including:
• Emergency room services
• Ground ambulance
• Air ambulance (knowledge helpful, not required)

• Applying federal IDR and No Surprises Act guidelines (training provided)
• Working within an internal claims and case management system
• Maintaining accuracy, consistency, and impartial decision making
• Important: This role requires a CPC or CPCA, but does not involve active coding. Experienced coders who prefer repetitive coding may find this role less engaging.

Required Qualifications

• Active CPC or CPCA certification (must be current)
• Experience reviewing EOBs and working appeals
• Strong understanding of medical billing, reimbursement, and insurance parameters
• Ability to review documentation and make clear, defensible determinations
• Adaptability and comfort working on a new and evolving team

Preferred / Nice to Have

• Background in emergency services, ambulance, or facility billing
• Knowledge of the No Surprises Act or IDR processes
• Experience on either the professional or facility billing side
• Medical billers with a CPCA looking to transition into a nontraditional coding role

Best Fit: Entry-level or early-career CPC/CPCA professionals who enjoy analytical work, appeals, and EOB review and are looking for longterm, remote stability.

• Structured onboarding with system and workflow training
• IDR-specific training provided by experienced team leads
• Most employees are fully ramped up by the end of week four

• 100% remote position
• Company-provided equipment, including:
• Laptop
• Monitor
• Keyboard & mouse
• Phone

• Long-term, stable workload driven by federal regulation
• No productivity pressure tied to coding quotas
• Unique exposure to IDR and federal dispute resolution work
• Excellent option for CPCA professionals building real-world experience
• Predictable weekday schedule with no nights or weekends

If you’re a certified CPC or CPCA looking for a remote, long-term opportunity where your knowledge of medical billing and reimbursement truly matters, we’d love to connect. Apply today and grow your career in medical review and dispute resolution.

This is a Contract to Hire position based out of Houston, TX.

The pay range for this position is $25.00 - $25.00/hr 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
• Employe…