Certified Medical Coder

Job Summary

A company is looking for a Medical Billing & Coding Specialist with Coding Certification required.

Key Responsibilities

• Review and correct coding denials for resubmission to insurance carriers
• Ensure accuracy and compliance of charges with coding standards
• Conduct follow-ups on unpaid or underpaid claims to optimize reimbursement

Required Qualifications, Training, and Education

• High school diploma or equivalent
• Minimum 10 years of medical billing experience, preferably in a multi-specialty setting
• Certification as a Certified Professional Coder (CPC) or similar credential required
• Strong understanding of CPT, ICD 10, and HCPCS coding principles
• Familiarity with Medicare, Medicaid, and major insurance plans