Certified Professional Coder

Company: Claims Theory
Location: Albany
Posted on: January 18, 2026

Job Description:

Job Description Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC certification required Ability to multi-task Ability to meet critical timelines 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 team

Keywords: Claims Theory, Pittsfield , Certified Professional Coder, IT / Software / Systems , Albany, Massachusetts