Certified Medical Coder

Job Summary

A company is looking for a Medical Coder II.

Key Responsibilities

• Perform coding validation accuracy reviews of Medicare medical records and claims in accordance with Federal regulations and CMS coding policies
• Document findings for each claim and compile reports detailing coding reviews, patterns, and recommendations
• Conduct Inpatient DRG validation and Ambulatory Payment Classification (APC) reviews

Required Qualifications

• Certified Coder from an accredited association, such as AAPC or AHIMA
• A minimum of five (5) years of direct coding or billing experience in the specific coding field
• Not excluded or sanctioned from working with the Centers for Medicare and Medicaid Services (CMS)
• Experience in all aspects of Inpatient and Outpatient coding (ICD-10, CPT, HCPCS)
• Ability to work well in a remote team environment