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

SE01d213VVp1WjZHSWdYcTExNlBHV3phVHc9PQ==
  • 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

UPMC - Pittsburgh Medical Center

Medical Laboratory Scientist/Medical Laboratory Technician - Evenings - UPMC Cole Job at UPMC - Pittsburgh Medical Center

 ...Job Description \n \n \n \n \n \n The Laboratory at UPMC Coleis hiring a Medical Laboratory Scientist OR Medical Laboratory Technician! This is a full time, 40 hour per week position. Shift hours are evenings, 2:00PM - 10:30PM with rotating weekend and holiday coverage... 

CRISTAL CLEAR CLEANING LLC

Housekeeper/Cleaner Job at CRISTAL CLEAR CLEANING LLC

 ...Flexible Scheduling Competitive Compensation Career Advancement Opportunities Job Summary: We are looking for a Housekeeper to join our team! You will be responsible for providing exceptional customer service by consistently cleaning homes. You will be... 

Morrison Products, Inc.

Manufacturing Engineer Job at Morrison Products, Inc.

 ...Job Description Manufacturing Engineer Summary: The Manufacturing Engineer is responsible for designing, implementing, and optimizing manufacturing processes to achieve operational excellence. This role focuses on ensuring product quality, process efficiency... 

Geisinger

Patient Companion - Central Region Float Pool - Day/Night Rotation Job at Geisinger

 ...Responsible to accompany the patient if he or she must leave the unit for reasons identified by the care provider. Maintain a safe, private, and comfortable therapeutic environment. Redirects impulsive and harmful behavior. Remain in clear sight of patient at all... 

Cynet Systems

Oracle Database Administrator Job at Cynet Systems

 ...Independently perform a variety of complicated tasks. Work with a team of Oracle/SQLServer DBAs. Communicate clearly and effectively, both in speaking and in writing. Perform installations of database-related software. (including database upgrades and patching). Cynet...