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

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  • 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

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