Certified Professional Coder, PIP Adjuster

Medlogix

Certified Professional Coder reviewing medical bills for PIP claims at Medlogix. Collaborating with teams and ensuring adherence to coding standards for NJ/NY insurance claims.

Posted 4/30/2026full-timeRemote • New Jersey • 🇺🇸 United StatesMid-LevelSenior💰 $55,000 - $60,000 per yearWebsite

About the role

Key responsibilities & impact

Use various resources to support reviews; IE: CPT guidelines, CPT Assistant, Encoder Pro, 3M Software
Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds
Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes
Assign proper CPT, HCPCs codes based on the review outcome
Review CPT codes for unbundled services
Review billed modifiers for accuracy of use
Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement
Interpret fee schedule guidelines and apply those guidelines in daily reviews
Document review outcomes for customers in a professional easy to understand manner
Use various resources, IE: eBooks, 3M software to support reviews
Participate in conference calls as needed with customers and/or attorneys
Participate in virtual and in-person testimony or trial when needed
Assist with various special projects and other duties as assigned

Requirements

What you’ll need

PIP experience with high level understanding of fee schedule guidelines in NY, NJ, FL or MI required
CPC in good standing with AAPC required (may consider candidate with strong PIP experience, IE: NJ/NY PIP adjuster)
3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
Must have attention to details, ability to quickly identify errors in written reports, legal documentation
Strong communication skills, must be able to explain the outcome of the review, both written and verbally
Extensive knowledge of coding /documentation requirements
Thorough knowledge of CPT, HCPCs, ICD-10
Must have active CPC certification through AAPC
Ability to multi-task
Ability to meet critical timelines
Willingness to testify on a needed basis on behalf of customer to coding outcomes
Willingness to travel for testimony as required
Computer experience
Excel experience beyond beginner
Independent worker
Ability to manage time when working remotely
Must be able to travel to Hamilton NJ office as needed
Ability to effectively communicate with the team

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Medlogix Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 🤝 B2B 💰 Private Equity Round on 2017-06 Healthcare Insurance
B2B
Workers Compensation Medlogix is a company that specializes in providing comprehensive medical services, including workers' compensation, auto medical services, and group health services. They offer online referral systems and eBilling solutions to streamline the management of medical claims. With a focus on technology, Medlogix employs innovative platforms like MyMedlogix™ and MedlogixU™ to enhance their services and ensure exceptional client experiences. Certified Professional Coder, PIP Adjuster 🔥 2 hours ago 🏖️ New Jersey – Remote 💵 $55k - $60k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding Apply Now Find Hiring Managers Customize resume for this job Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Use various resources to support reviews; IE: CPT guidelines, CPT Assistant, Encoder Pro, 3M Software
Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds
Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes
Assign proper CPT, HCPCs codes based on the review outcome
Review CPT codes for unbundled services
Review billed modifiers for accuracy of use
Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement
Interpret fee schedule guidelines and apply those guidelines in daily reviews
Document review outcomes for customers in a professional easy to understand manner
Use various resources, IE: eBooks, 3M software to support reviews
Participate in conference calls as needed with customers and/or attorneys
Participate in virtual and in-person testimony or trial when needed
Assist with various special projects and other duties as assigned 🎯 Requirements
PIP experience with high level understanding of fee schedule guidelines in NY, NJ, FL or MI required
CPC in good standing with AAPC required (may consider candidate with strong PIP experience, IE: NJ/NY PIP adjuster)
3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules
Must have attention to details, ability to quickly identify errors in written reports, legal documentation
Strong communication skills, must be able to explain the outcome of the review, both written and verbally
Extensive knowledge of coding /documentation requirements
Thorough knowledge of CPT, HCPCs, ICD-10
Must have active CPC certification through AAPC
Ability to multi-task
Ability to meet critical timelines
Willingness to testify on a needed basis on behalf of customer to coding outcomes
Willingness to travel for testimony as required
Computer experience
Excel experience beyond beginner
Independent worker
Ability to manage time when working remotely
Must be able to travel to Hamilton NJ office as needed
Ability to effectively communicate with the team Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs IP Facility Coder III – CCS 🔥 3 hours ago Presbyterian Healthcare Services 10,000+ employees ⚕️ Healthcare Insurance 🤝 Non-profit Website LinkedIn All Job Openings IP Facility Coder III responsible for coding inpatient and outpatient hospital records. Join Presbyterian to make a difference in healthcare with innovative solutions. 🇺🇸 United States – Remote 💵 $23 - $35 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Lead Coder 🔥 3 hours ago Presbyterian Healthcare Services 10,000+ employees ⚕️ Healthcare Insurance 🤝 Non-profit Website LinkedIn All Job Openings Lead EW Coder at Presbyterian coordinating coding, abstracting, and quality monitoring for healthcare services. Responsible for workflow scheduling and liaison roles with various offices. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Facility Coding, Outpatient Complex Coder 🔥 6 hours ago Banner Health 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Coder providing outpatient complex coding for acute care services at Banner Health. Analyzing medical records and coding diagnoses and procedures accurately in a remote setting. 🇺🇸 United States – Remote 💵 $26 - $40 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥 Medical Billing and Coding 🚫👨‍🎓 No degree required 🦅 H1B Visa Sponsor Medical Records Coder II 🔥 14 hours ago Duke Careers 10,000+ employees 📚 Education 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Medical Records Coder II at Duke Health coding medical records utilizing ICD-10 and CPT standards. Involves training, audits, and collaboration with medical staff to ensure accurate coding. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding HIM Coder, CCS Required 🔥 19 hours ago Lourdes Health System 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings HIM Coder responsible for coding and abstracting hospital medical records for Virtua Health. Collaborating with clinical documentation improvement staff to ensure accuracy in coding standards. 🇺🇸 United States – Remote 💵 $26 - $44 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥 Medical Billing and Coding 🚫👨‍🎓 No degree required View More Medical Billing and Coding Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

CPT codingHCPCs codingICD-10 codingcode reviewsfee schedule guidelineserror identificationdocumentation requirementsmulti-taskingtime management

Soft Skills

attention to detailstrong communicationindependent workerability to meet deadlinesability to explain outcomes

Certifications

CPC certificationAAPC certification