[Hiring] Medical Coder @TEKsystems

Role Description

Join a growing healthcare review organization that partners with government agencies, third-party administrators, insurance carriers, and self-funded employers to provide independent medical review services. We are expanding our team and seeking detail-oriented Medical Coders to support claim payment determination reviews.

This is an excellent opportunity for individuals with an active CPC or CPC-A certification looking to build their healthcare coding and reimbursement knowledge in a unique, analytical role. While coding knowledge is required, this position focuses on claim review and payment determinations rather than performing medical coding.

Responsibilities

• Review medical claims and supporting documentation to determine appropriate payment outcomes.
• Analyze claim information, CPT codes, EOBs, and reimbursement data to support payment determinations.
• Validate and verify claim data for accuracy and completeness.
• Review disputes involving emergency services, ambulance services, air ambulance, and other healthcare claims.
• Document rationale for payment decisions in accordance with established guidelines and regulations.
• Work within internal claims management systems to process and review case files.
• Maintain productivity and quality standards while handling a high volume of cases.
• Collaborate with internal teams to ensure accurate and timely claim resolutions.

Qualifications

• Active CPC or CPC-A certification required.
• Experience working with EOBs (Explanation of Benefits) and appeals processing strongly preferred.
• Healthcare billing, medical coding, claims, or reimbursement experience preferred.
• Understanding of CPT codes and insurance reimbursement methodologies.
• Experience with emergency services, ambulance, or facility/professional billing is helpful but not required.
• Knowledge of the No Surprises Act (NSA) is a plus.
• Strong analytical, decision-making, and problem-solving skills.
• Ability to work independently in a fast-paced, production-driven environment.
• Comfortable learning new processes within a growing department.

Requirements

• This is a Contract position based out of Chicago, IL.
• The pay range for this position is $25.00 - $25.00/hr.
• Individual compensation offered will depend on qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
• Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.

Benefits

• 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
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

This position is anticipated to close on Oct 26, 2026.

Workplace Type

This is a fully remote position.