Job Overview
Location
United States
Job Type
Full-time
Category
HR & Recruiting
Date Posted
June 30, 2026
Full Job Description
đź“‹ Description
- • As a Claim Association QA Specialist (Part-Time) at Public Interest Co., you will play a key role in uncovering healthcare claims that should have been paid by third-party insurers rather than health plans, directly contributing to improved payment accuracy and financial recovery for healthcare organizations.
- • You will review medical records, claims data, and supporting documentation to identify potential third-party liability and recovery opportunities; analyze injury-related claims by connecting accidents, diagnoses, procedures, and treatment timelines; apply ICD-10, CPT, and healthcare coding knowledge to evaluate claim accuracy; identify patterns and discrepancies; collaborate with operations, product, and engineering teams to improve workflows and data quality; document findings clearly; maintain high accuracy while managing multiple cases in a fast-paced environment; and stay current on coding guidelines and industry trends.
- • Public Interest Co. provides a comprehensive solution for identifying and recovering third-party liability for health plans, risk-bearing provider groups, and self-funded employers using AI and a legal tech platform, empowering healthcare organizations to maximize financial performance and recoup dollars toward care delivery without adding administrative burden.
- • In this role, you will make a meaningful impact by ensuring healthcare claims are paid accurately and recovering funds that support patient care; apply your clinical and coding expertise to solve complex, real-world cases at the intersection of healthcare, data, and legal operations; join a collaborative, fast-growing team where your work influences product development, operational strategy, and client outcomes; and grow your career in an innovative healthcare technology company transforming how third-party liability claims are identified and recovered.
🎯 Requirements
- • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), or equivalent medical coding credential preferred
- • Strong knowledge of ICD-10 diagnosis coding; experience with RAF reviews, quality reviews, or health plan coding audits is highly desirable
- • Experience reviewing injury-related claims, including personal injury, workers' compensation, auto, or liability claims
- • Background working for a health plan, third-party administrator (TPA), medical billing company, or medical records review organization
- • Familiarity with healthcare claims data, including Explanation of Benefits (EOBs), remittance advice, CPT and ICD-10 coding, and claims documentation
- • Strong analytical skills with exceptional attention to detail and the ability to identify patterns across medical records and claims data
🏖️ Benefits
- • Make a meaningful impact by helping ensure healthcare claims are paid accurately and recovering funds that support patient care
- • Apply your clinical and coding expertise to solve complex, real-world cases at the intersection of healthcare, data, and legal operations
- • Join a collaborative, fast-growing team where your work directly influences product development, operational strategy, and client outcomes
- • Grow your career in an innovative healthcare technology company transforming how third-party liability claims are identified and recovered
Skills & Technologies
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About Public Interest Co.
Public Interest Co. is a technology company that builds civic engagement software and data tools for governments, nonprofits, and community organizations. Its flagship product, Public Interest, enables cities to manage participatory budgeting, policy feedback, and public consultations through digital interfaces. Founded in 2020, the company focuses on increasing transparency and participation in local governance by providing secure, user-friendly platforms that integrate with existing government systems. Clients include municipal agencies, advocacy groups, and foundations seeking to modernize public engagement processes while maintaining accessibility and compliance with public records laws.
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