Certified Professional Coder, PIP Adjuster

Medlogix

. Review medical bills submitted by insurance companies for motor vehicle accident injuries involving NJ- and/or NY-covered insureds .

Posted 10/20/2026full-timeHamilton • New Jersey • United StatesMid-LevelSenior💰 $0 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive knowledge of CPT, HCPCS, and ICD-10 coding standards, with a strong understanding of fee schedule guidelines in NJ and NY. Capable of conducting thorough code reviews and effectively communicating outcomes to clients and legal representatives.

Highest-signal resume keywords

CPC CertificationPIP ExperienceCPT Code ReviewFee Schedule GuidelinesAttention to Detail

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

CPT CodingHCPCS CodingICD-10 CodingCode ReviewFee Schedule InterpretationError IdentificationDocumentation RequirementsMultitaskingTime Management

Soft Skills

Strong Communication SkillsIndependent WorkerProfessionalism

Tools & Technologies

Encoder Pro3M SoftwareCPT AssistantEBooksExcel

Certifications & Qualifications

CPC Certification

Industry Keywords

PIPMotor Vehicle AccidentInsurance BillingRegulatory RequirementsLegal Documentation

About the role

Key responsibilities & impact

Review medical bills submitted by insurance companies for motor vehicle accident injuries involving NJ- and/or NY-covered insureds
Use CPT guidelines, CPT Assistant, Encoder Pro, 3M software, eBooks, and other resources to support reviews
Interpret medical documentation and ensure accuracy of billed services
Assign proper CPT and HCPCS codes based on review outcomes
Review CPT codes for unbundled services and billed modifiers for accurate use
Crosswalk CPT codes according to regulatory requirements to ensure correct reimbursement
Interpret and apply fee schedule guidelines in daily reviews
Document review outcomes for customers in a professional, easy-to-understand manner
Participate in conference calls with customers and/or attorneys as needed
Participate in virtual and in-person testimony or trials when needed
Assist with special projects and other assigned duties

Requirements

What you’ll need

PIP experience with high-level understanding of fee schedule guidelines in NY, NJ, FL, or MI
CPC in good standing with AAPC required; active CPC certification through AAPC
3–5 years of experience conducting code reviews, specifically NJ/NY PIP fee schedules
Attention to detail and ability to quickly identify errors in written reports and legal documentation
Strong written and verbal communication skills
Extensive knowledge of coding and documentation requirements
Thorough knowledge of CPT, HCPCS, and ICD-10
Ability to multitask and meet critical timelines
Willingness to testify on behalf of customers regarding coding outcomes
Willingness to travel for testimony as required
Computer experience and Excel experience beyond beginner level
Independent worker able to manage time when working remotely
Must be able to travel to the Hamilton, NJ office as needed
Ability to effectively communicate with the team

Benefits

Comp & perks

Possibility for growth and future advancement into leadership roles
Equal Opportunity Employer commitment