Certified Professional Coder (CPC) – PIP Medical Bill Review Expert
Location: Remote (Nationwide, excluding CA)
Schedule: Monday – Friday, Standard EST Business Hours
Employment Type: Full-Time, Permanent
Position Overview
Due to significant company growth and an expanding client base, we are seeking experienced PIP Adjusters to join our team.
Key Responsibilities
- Bill Audit & Review: Conduct comprehensive reviews of medical bills for MVA injuries under NJ, NY, FL, or MI state-specific PIP regulations.
- Coding Accuracy: Verify and assign CPT, HCPCS, and ICD-10 codes; audit for unbundled services and proper modifier usage.
- Compliance: Crosswalk CPT codes per regulatory requirements and apply state-specific fee schedule guidelines to ensure precise reimbursement.
- Documentation: Clear, professional documentation of review outcomes for insurance carriers and legal counsel.
Qualifications & Requirements
- Certification: Must hold an active CPC certification through the AAPC or be willing and able to attain one within 6 months of your first day of employment.
- Experience: A minimum of 3–5 years of experience in medical code reviews.
- State Expertise: Specific experience with New Jersey and New York PIP fee schedules is highly preferred. Candidates with experience in Florida or Michigan PIP in combination with NJ or NY will also be considered.
- Regulatory Knowledge: Strong command of CPT guidelines, HCPCS, and ICD-10.
- Technical Skills: Solid experience with Microsoft Excel (Intermediate to Advanced) and with resources such as 3M, eBooks etc.
Professional Attributes
- Communication: Exceptional verbal and written skills; ability to explain complex coding logic to non-technical stakeholders.
- Autonomy: A self-starter capable of managing time effectively in a 100% remote environment.
- Critical Thinking: Ability to meet strict deadlines while maintaining high accuracy in a high-volume niche market.
Company Description
Anchor Point is a boutique staffing and recruiting firm designed to bridge the gap between high-growth organizations and specialized talent. The firm is built on over 20 years of industry experience, moving away from the high-volume, transactional nature of large agencies to focus on a more precise, relationship-driven approach.Inspired by the concept of an "anchor point"—the strategic position of leverage in archery that provides the direction and momentum necessary to hit a target—the firm applies this same philosophy to the hiring process.