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

RTNNY2xGeUt6VndmMUZPaHEwODBONDlGVWc9PQ==
  • 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

Belcan

Office Clerk Job at Belcan

 ...#ScaleClerkjobs. Start Date: Immediate Job Description: Scale Clerk is a clerical position involved in the daily tasks of the office (weighing trucks, grading grain, operating a PLC program, data entry, answer phone and filing). This position will provide... 

IDR, Inc.

Office Assistant Job at IDR, Inc.

 ...IDR is seeking an Office Assistant to join one of our top clients in Reading, PA. This role is perfect for individuals who thrive in a structured environment and enjoy maintaining order. If you are looking for an opportunity to join a growing organization and work within... 

Biscott Styles Barber Shop & Hair Salon

Barber/Hair Stylist/Braider Job at Biscott Styles Barber Shop & Hair Salon

 ...Biscott Styles Barber Shop & Hair Salon Location : 381-383 Summit Ave, Jersey City, NJ 07306, USA. We are looking for full or part-time barbers, hair stylists, and braiders who desire to work in a high-end establishment and grow as professionals. Position... 

CarDon & Associates

MDS Assistant (RN/LPN) Job at CarDon & Associates

 ...The MDS Assistant at Greenwood Health and Living plays a crucial role in ensuring the accurate and timely completion of the Minimum...  ...our residents. The MDS Assistant will collaborate closely with nursing staff and other healthcare professionals to gather necessary data... 

Abuse Refuge Org

Volunteer Human Resources Coordinator Job at Abuse Refuge Org

 ...-abuse. Job Description ARO is seeking an energetic HR Coordinator with strong writing and communication skills. This is...  .... Maintain a respectful relationship with staff and other volunteers. Perform other appropriate tasks or duties as requested by Supervisor...