{"id":335822,"url":"https://alion.io/job/danestreet-certified-professional-coder","title":"Certified Professional Coder","company":{"id":6275,"name":"Dane Street","domain":"danestreet.com","url":"https://alion.io/company/danestreet","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workable","truth_index":{"grade":"C","score":61,"open_postings":108,"ghost_share":0.657,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":50,"computed_at":"2026-10-26T05:57:25Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":null,"employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Houston, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":69000,"max_usd":162000,"period":"year","method":"role_country_seniority_unknown","sample_n":15150},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-08-25T00:00:00Z","employer_posted_date":"2026-08-25","last_verified_at":"2026-10-26T04:09:26Z","board_verified":true,"closed_at":null,"days_open":62,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":62},"description":"MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES.\nWe are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments.\nResponsibilities:\nPerform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)\nConduct utilization reviews to assess medical necessity and documentation compliance\nReview the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases\nAnalyze medical records for payer disputes, recoupments, and appeals\nPrepare detailed, defensible written audit reports\nProvide expert review, affidavit support, deposition preparation, and testimony when required\nInterpret CMS guidelines, LCD/NCD policies, and state-specific Medicaid and commercial payer rules\nReview E/M services under 2021+ guidelines\nIdentify compliance risks and documentation deficiencies\nRequirements\n\n• Active CPC certification through the American Academy of Professional Coders (AAPC)\n• CPMA strongly preferred\n• Minimum 5-7 years of professional coding experience\n• Documented experience performing audits or utilization reviews in multiple states\n• Strong knowledge of CMS regulations and state Medicaid variations\n• Experience with Medicare, Medicare Advantage, and commercial payer audits\n• Prior demand package review or litigation support experience required\n• Deposition and/or expert testimony history preferred\n• Excellent written reporting and analytical skills\n• Ability to work independently and meet strict deadlines\n\nPreferred Experience:\n\n• RAC, UPIC, or commercial payer audit response\n• Multi-state Medicaid policy interpretation\n• Expert witness experience in civil litigation\n• Data analysis and audit trend reporting\n\nThis position may be structured as part time Candidates must be comfortable reviewing policies and payer rules across multiple jurisdictions and is able to do multiple types of reviews/audits\nBenefits\nJoin our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.\nABOUT DANE STREET:\nA fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.","description_format":"text","description_chars":3594,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Life insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Occupational Health","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-05T17:44:26Z"}],"visa":[],"liveness":{"score":19,"band":"cold","label":"Long shot","p_open":1,"p_active":0.434,"p_room":0.44,"age_days":62,"expected_fill_days":50,"reasons":["conf:1","stale_co","win:tail","crowd:brand"],"computed_at":"2026-10-26T05:57:25Z"},"pay":null,"html_url":"https://alion.io/job/danestreet-certified-professional-coder","json_url":"https://alion.io/job/danestreet-certified-professional-coder.json","meta":{"generated_at":"2026-10-26T08:27:11Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":11273,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-27T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":6275},"rest":"https://alion.io/mcp/rest/get_company?id=6275"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fdanestreet-certified-professional-coder"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fdanestreet-certified-professional-coder"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fdanestreet-certified-professional-coder"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/danestreet-certified-professional-coder\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fdanestreet-certified-professional-coder"}]}