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Medical Coding Dispute Reviewer image - Rise Careers
Job details

Medical Coding Dispute Reviewer

Job Summary

A company is looking for a Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert).

Key Responsibilities
  • Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act
  • Resolve disputes related to out-of-network provider charges by following detailed internal policies
  • Research service codes, fees, and coverage policies using digital tools and online databases
Required Qualifications
  • 1+ year of experience in medical coding or billing
  • Experience handling insurance claims from the payer side
  • Ability to read and interpret EOBs, remark codes, and medical claim language
  • Familiar with dispute resolution, appeals processes, and healthcare regulations
  • Associate's degree preferred but not required with 3+ years of medical billing/coding experience

Average salary estimate

$67500 / YEARLY (est.)
min
max
$60000K
$75000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 30, 2025

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