• Assign accurate CPT, HCPCS, and ICD-10 codes for all services performed at BHC facilities • Apply appropriate modifier usage based on payer and service requirements • Ensure documentation supports medical necessity, procedural complexity, and level of services • Apply correct diagnosis sequencing and body-part specificity required for WC claims • Support WC-specific documentation requirements, including injury dates. Causality, and treating physician narratives • Collaborate with billing teams to ensure correct claim formats, attachments, and WC payer rules are met • Ensure coding compliance with CMS, AMA, NCCI, and OIG guidelines • Participate in internal and external coding audits , implement corrective actions as needed • Identify coding trends that impact denials, underpayments, or compliance risk • Provide feedback and education to provider to improve documentation and coding accuracy • Assumes other responsibilities as appropriate to the position and organizational needs

Assigns appropriate modifiers to charges for clean claim submission. Utilizes the Optum encoder to review and/or assign ICD-10-CM, CPT,  and HCPCS Level II codes on charges.

Role Description We're currently looking for organized, reliable individuals to help support clients by coordinating details, managing schedules, and ensuring everything runs smoothly from start to finish. This is a fully remote position with flexible hours, making it a great fit for anyone looking to work independently while building valuable skills. No prior experience is required — training is provided. - Communicating with clients to understand their needs and preferences - Organizing schedules, confirmations, and important details - Providing clear, timely updates and support - Keeping everything on track to ensure a smooth experience - Assisting with coordination from start to finish Qualifications - Strong communication and organizational skills - Attention to detail and ability to stay on top of tasks - Comfortable working independently in a remote environment - Basic tech skills (email, apps, online systems) - Positive attitude and willingness to learn - Experience in customer service or coordination is helpful, but not required Requirements - 100% remote — work from anywhere - Flexible schedule options - Structured training provided - Supportive team environment - Opportunities for growth based on performance Who This Is Great For - Stay-at-home parents - Military spouses - Anyone looking for flexible, remote work - Individuals wanting to build new skills while working from home Location Requirement Applicants must be authorized to work in: United States, United Kingdom, Mexico, Spain, Australia, or LATAM regions. If you're organized, dependable, and enjoy helping others, we'd love to hear from you.

Title: Certified Professional Coder/ PIP Adjuster REMOTE Location: Hamilton, NJ, US Job Description: Salary Range:$55,000.00 To $60,000.00 Annually Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. About this role: Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the production role, along with a strong understanding of coding, PIP, and state regulations. Position: Certified Professional Coder / Bill Review Expert Location: Remote FMLA: Non-Exempt, Full-Time Schedule: M-F 8am-4:30pm MUST HAVE: 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) Responsibilities: - 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 Qualifications and Experience: - 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 EEOC STATEMENT: Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.