Certified Medical Coder

Job Summary

A company is looking for a Certified Medical Coder to lead coding strategy and execution for expanding billable services.

Key Responsibilities

• Perform complex coding for CPT, HCPCS, and ICD-10, ensuring accuracy and compliance
• Lead analysis of coding-related denials and provide expert guidance on appeals strategy
• Collaborate with clinical teams and RCM leadership on billing strategy and optimization initiatives

Required Qualifications

• Active coding certification (CPC, CCS, or equivalent)
• 5+ years of medical coding experience, particularly with Medicaid and MCO billing
• Deep expertise in CPT, ICD-10, and HCPCS coding systems
• Advanced knowledge of modifier usage, including state-specific Medicaid and MCO requirements
• Strong experience with E/M coding and Medical Decision Making (MDM)