PCG Software Inc.

05/27/2026

MRI Join of Lower Extremity Coding (73721); Diagnostic Imaging.
Full guide here:
https://bit.ly/4uD2eYr

05/25/2026

05/21/2026

Immunization billing and payments.
CPT Code 90471.
Definitions, usage scenarios, images, modifiers, pitfalls, and more.

Written via CMS, AMA, Medi-Cal, and documented via images taken right from our AI coding software solutions: VE, VA, and iVECoder.

http://www.pcgsoftware.com/cpt-code-90471-immunization-administration

04/28/2026

WE'RE HIRING IN LAS VEGAS!

COMPANY DESCRIPTION
PCG Software provides advanced AI-based claims-auditing, coding-analysis, and real-time authorization tools for Health Plans, MSOs, and PACE organizations. Our platform reviews claims down to the line level—analyzing coding, billing history, and compliance rules to identify overpayments, denials, and cost-saving opportunities. With a 98% client retention rate over 15 years, our solutions are trusted by payer organizations to improve accuracy and reduce claim spend.

EXPERT CODERS WILL THRIVE
If you can clearly explain why a claim should be denied, reduced, or flagged for review—and back it with coding logic—you will succeed here. You will serve as the client-facing coding expert for PCG Software, helping clients understand both the “how” and the “why” behind every determination.

YOUR NEW ROLE
Act as the coding and claims expert for client-facing interactions.
Train new and existing clients on software with direct coding and financial impact correlations.
Answer client questions related to claims, determinations, and audit logic.
Work with leadership to build scalable video-based training content.
Assist with quarterly coding updates and client communications.
Identify and coordinate additional client training opportunities.
Attend conferences as needed (company-paid).

LOCATION AND TRAVEL
In-office for the first 3 months for onboarding and training.
Transition to a hybrid work environment will be based on performance.
Travel: 2-8% of the year.
All required travel expenses paid by the Employer.

ENTRY LEVEL INFO:
Entry-Level Placement: $70,000 Salary with Benefits
Fulfill all duties above
Active CPC
1-3 years Claims Processing or Compliance
1-3 years using Coding Scrubbing or Auditing tools

INTERMEDIATE LEVEL INFO:
Intermediate Placement: $80,000 plus Benefits
Entry-Level plus the following:
Active CPMA
3+ years Claims Processing (payer/MSO preferred)
Stronger knowledge of determinations, denials, and audit logic
Proven ability to train and present to clients

ADVANCED LEVEL INFO:
Advanced Placement (Nurse Coder): $90,000+ plus Benefits
Intermediate plus the following:
Active RN license with CPC or CPMA
5+ years in utilization review, case management, or clinical auditing
Deep understanding of medical necessity, authorizations, and clinical documentation
Ability to bridge clinical and coding teams and lead high-level client training

BENEFITS AND BONUSES:
Medical, Dental, and Vision
PCG pays for certification renewals (CPC, CPMA, others)
PTO accrual
Additional Coding licensing adds $500-$2,000 per license to your annual salary
Performance-based bonuses
Annual bonuses based on company growth

MESSAGE BELOW OR EMAIL ME DIRECTLY
Will Schmidt
CSO
[email protected]

Send a message to learn more

04/08/2026

Technology, Remote Work, Hybrid Work have killed conferences.
Here's why it happened and what's next.
https://bit.ly/4cbkfoq

Why in-person conferences are declining and virtual events, webinars, and podcasts are replacing them with higher ROI and attendance.

04/06/2026

For ➡️ Health Plans, MSOs, and PACE
Based on 200+ audits over 30+ years.
Try out our FREE claims savings & risk assessment calculator.

Estimate how much your health plan, MSO, or PACE organization may be losing in claims each month using real audit data and recovery benchmarks.

03/05/2026

9,000 Mt. Sinai physicians have left Anthem.
Patients lost providers and primary hospitals.

Anthem says,
"We wanted protection for overcharges and FWA."

Mt. Sinai says,
"You wanted a reason to increase denials and delay care."

Where are all the good negotiators?

https://bit.ly/3Phua3Y

03/05/2026

3 prospective clients in the last week asked me to share this 3-minute snippet on how hard healthcare claims review, payment, and auditing are, and they asked me to explain it so that a healthcare novice could understand.

Hope this helps someone out there.

03/03/2026

Elevance's Medicare Advantage Enrollment is frozen.
Learn about Elevance's issues with CMS as well as past fraud, waste, abuse, and lawsuits here:
https://bit.ly/4l21g3K

03/02/2026

Michigan Fraud and Investigations continue.
To read the latest cases and the current status of Michigan Medicaid, click here: https://bit.ly/3N1vJCp

Explore Michigan's latest fraud cases, including opioid mills, telemedicine kickbacks, pharmacy billing fraud, and more.