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Certified Professional Coder/ PIP Adjuster REMOTE

Fcafecf6 Dba0 4845 B816 D897e606a511 19000101 000001 · Hamilton, NJ, US, Hamilton, NJ · Remote · Active · $55,000–$60,000 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyFcafecf6 Dba0 4845 B816 D897e606a511 19000101 000001
TitleCertified Professional Coder/ PIP Adjuster REMOTE
Normalized title-
Department / team-
LocationHamilton, NJ, United States
Work modelRemote / Remote
Employment typeFull Time
Salary$55,000–$60,000 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-28 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from Fcafecf6 Dba0 4845 B816 D897e606a511 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Hamilton.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyFcafecf6 Dba0 4845 B816 D897e606a511 19000101 000001
Source0e9083c7-1a6e-4382-ac60-ff4bb157dfd0
ATS providerADP Workforce Now Recruiting

Description

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.

Full job record

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Source ID0e9083c7-1a6e-4382-ac60-ff4bb157dfd0
Board ID0e9083c7-1a6e-4382-ac60-ff4bb157dfd0
Provideradp_workforcenow
Provider Job Key523458
TitleCertified Professional Coder/ PIP Adjuster REMOTE
Normalized Title—
Statusactive
Activeyes
Location TextHamilton, NJ, US, Hamilton, NJ
Department—
Team—
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionNJ
CityHamilton
Salary Raw55000.00 To 60000.00 (USD) Annually
Salary Min55,000
Salary Max60,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=fcafecf6-dba0-4845-b816-d897e606a511&ccId=19000101_000001&lang=en_US&type=JS&jobId=523458&jwId=9200828523974_1
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First Seen At2026-05-31 18:16:53Z
Last Seen At2026-06-06 13:05:18Z
Last Checked At2026-06-06 13:05:18Z
Last Changed At2026-06-06 13:05:18Z
Inactive At—
Source Posted At2026-05-28 12:32:00Z
Source Updated At—
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.13.17/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.13.17/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><p><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.13.17/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;</p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;' data-pasted=\"true\"><strong><span style='font-family:\"Segoe UI\",sans-serif;color:#262321;'>Certified Professional Coder/ PIP Adjuster</span></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong>&nbsp;</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>Medlogix, LLC&nbsp;</span></em></strong><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>delivers innovative medical claims solutions through a seamless collaboration of our medlogix&reg; technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients&rsquo; 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&rsquo; compensation insurance carriers; third party administrators (TPAs); and government entities we serve.</span></em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em>&nbsp;</em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>About this role:</span></em></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>Exciting opportunity with the possibility for growth!</span></em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>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.&nbsp;</span></em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em>&nbsp;</em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em>&nbsp;</em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#262321;'>Position: <strong>Certified Professional Coder / Bill Review Expert</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#262321;'>Location:<strong>&nbsp;Remote</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#262321;'>FMLA: <strong>Non-Exempt, Full-Time</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#262321;'>Schedule: <strong>M-F 8am-4:30pm</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-family:\"Times New Roman\",serif;color:black;'><br>&nbsp;MUST HAVE:<br>&nbsp;<br>&nbsp;PIP experience with high level understanding of fee schedule guidelines in NY, NJ, FL or MI required<br>&nbsp;CPC in good standing with AAPC required (may consider candidate with strong PIP experience, IE: NJ/NY PIP adjuster)&nbsp;<br>&nbsp;<br>&nbsp;Responsibilities:</span></strong></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: 0.30000000000000004in;\"><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Use various resources to support reviews; IE: CPT guidelines, CPT Assistant, Encoder Pro, 3M Software</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Assign proper CPT, HCPCs codes based on the review outcome&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Review CPT codes for unbundled services</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Review billed modifiers for accuracy of use</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Interpret fee schedule guidelines and apply those guidelines in daily reviews&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Document review outcomes for customers in a professional easy to understand manner</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Use various resources, IE: eBooks, 3M software to support reviews&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Participate in conference calls as needed with customers and/or attorneys&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Participate in virtual and in-person testimony or trial when needed</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:black;'>Assist with various special projects and other duties as assigned<strong><br>&nbsp;</strong></span></li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:21.0pt;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-family:\"Times New Roman\",serif;color:black;'>Qualifications and Experience:</span></strong></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: 0.55in;\"><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Must have attention to details, ability to quickly identify errors in written reports, legal documentation</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Strong communication skills, must be able to explain the outcome of the review, both written and verbally&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Extensive knowledge of coding /documentation requirements</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Thorough knowledge of CPT, HCPCs, ICD-10</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Must have active CPC certification through AAPC&nbsp;</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Ability to multi-task</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Ability to meet critical timelines</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Willingness to testify on a needed basis on behalf of customer to coding outcomes</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Willingness to travel for testimony as required</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Computer experience</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Excel experience beyond beginner</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Independent worker</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Ability to manage time when working remotely</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Must be able to travel to Hamilton NJ office as needed</span></li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\"><span style='font-family:\"Times New Roman\",serif;font-size:14px;color:#262321;'>Ability to effectively communicate with the team&nbsp;</span></li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>EEOC STATEMENT:</span></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><em><span style='font-size:14px;font-family:\"Times New Roman\",serif;color:#262321;'>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.</span></em></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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