Certified Medical Coder

Job Summary

To ensure accurate and timely claim submissions, the full-time remote Certified Medical Coder will independently review, analyze, and resolve assigned front-end claims while applying coding guidelines and collaborating with revenue cycle partners.

Key responsibilities

• Independently review and resolve front-end claim holds, maintaining a minimum of 90% coding accuracy
• Assign ICD-10-CM and CPT codes for services provided, ensuring compliance with medical necessity guidelines
• Utilize internal resources and payer guidelines to ensure accurate coding and participate in department meetings for ongoing mentorship

Required qualifications

• Current AAPC or AHIMA Certification with a minimum of 3 years of professional coding experience
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Ability to read and interpret medical documentation and apply relevant policies and regulations
• Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Prior experience in a medical billing environment with strict adherence to HIPAA compliance requirements