Description
Medical Billing / Coding / Prior Authorization Subject Matter Expert (Availity, 3M, CoverMyMeds) – Remote Contract
Overview
Exponent is hiring medical billers, coders, prior-authorization and insurance-verification specialists, and pharmacy technicians as subject matter experts for a healthcare technology client. You will evaluate revenue-cycle and authorization workflows in a simulated environment and document where the environment differs from real-world practice. This is a remote, part-time, contract engagement. No protected health information is involved.
Responsibilities
- Complete assigned workflows in a simulated environment: eligibility and benefits verification, authorization submission and appeals, claim generation and scrubbing, remittance review, charge entry, coding and abstracting, and fax routing
- Identify steps that fail, behave differently from the production system, or are missing
- Document findings in structured forms and short written notes
- Attend a remote onboarding session and periodic check-ins
Qualifications
- 5+ years in revenue cycle, coding, prior authorization, or pharmacy
- 3+ years of daily, hands-on use of at least one of: Availity, 3M Codefinder (3M 360 Encompass), CoverMyMeds, RightFax, athenahealth, MDLand iClinic
- Currently employed in the field, or left within the past two years
- CPC, CPB, CCS, RHIT, RHIA, or CPhT preferred
- Working knowledge of CPT, ICD-10, and HCPCS for billing and coding roles
- For 3M Codefinder: inpatient coding or coding audit experience with groupers and principal/secondary diagnosis selection
- For CoverMyMeds: daily medication prior-authorization work
- Clear written communication
Engagement details
- Location: Remote, United States
- Type: 1099 independent contractor
- Hours: approximately 10 per week during active weeks, self-scheduled
- Duration: approximately 4 weeks of work over 5 to 6 calendar weeks, with alternating active and inactive weeks; extension possible based on performance
- Start: week of September 14, 2026
- Equipment: your own computer and internet connection; browser-based, nothing to install
Compensation
$72 to $99 per hour, determined by role, years of experience, and assigned system. Confirmed during screening.
About Exponent
Exponent is a career platform used by more than a million professionals. We run specialized recruiting programs for partner companies that need verified domain expertise.
Process
15-minute screening call with an Exponent recruiter, introduction to the project team, contractor and confidentiality agreements, onboarding, start.
Requirements
- 5+ years in revenue cycle, coding, prior authorization, or pharmacy
- 3+ years of daily, hands-on use of at least one of: Availity, 3M Codefinder (3M 360 Encompass), CoverMyMeds, RightFax, athenahealth, MDLand iClinic
- Currently employed in the field, or left within the past two years
- CPC, CPB, CCS, RHIT, RHIA, or CPhT preferred
- Working knowledge of CPT, ICD-10, and HCPCS for billing and coding roles
- For 3M Codefinder: inpatient coding or coding audit experience with groupers and principal/secondary diagnosis selection
- For CoverMyMeds: daily medication prior-authorization work
- Clear written communication
