JOB DESCRIPTION:
MUST HAVE CPC OR CPC-A
Making payment determinations. For example, parties have gone back and forth and haven't settled on a proper claim payout based on the CPT code. This person would say this is the right party, here is why, etc. They will be deciding payment determinations for claims. They must have their CPC or CPC-A, but they will not be doing any coding in this role.
Will be working on/reviewing a lot of emergency services, ambulance services, air ambulance and non-air ambulance so a lot of emergency providers. If they have knowledge/experience that is helpful but not required.
Doing validation/verification of the data and then picking a side not actual coding.
Will be working in their internal database/system that houses all the claims and cases.
HOURS:
- M-F 8am 4:30 CST
Top Skills Details
- Coding
- CPC
- CPC-A
- Claims resolution
- Payment determination
- Billing
- Electronic health record
Qualifications
Prefer entry level coding candidate with no/little coding experience. Needs to have previously worked appeals and extensive experience with EOB's. A tenured coder will get bored in this role. CPC or CPC-A certification must be active/update to date. Experience coding/billing emergency services, ambulance services, air ambulance and non-air ambulance helpful but not required. Would look at Billers with their CPC-A who want to get into coding with working knowledge to understand the codes and the insurance parameters.
Job Type & Location
This is a Contract position based out of Chicago, IL.
Pay and Benefits
The pay range for this position is $25.00 - $25.00/hr. Individual compensation offered for this position within this range will depend on many factors, including 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 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 Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)
Application Deadline
This position is anticipated to close on Oct 24, 2026.
Workplace Type
This is a fully remote position.
About TEKsystems
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.