Certified Medical Coder

Job Summary

To ensure the accuracy and compliance of medical coding processes, the full-time Certified Medical Coder will review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes while collaborating with billing staff to enhance reimbursement outcomes in a remote work environment.

Key responsibilities

• Review medical records and claim information to accurately assign coding in compliance with regulatory requirements
• Analyze coding-related claim denials and recommend corrective actions to improve reimbursement outcomes
• Collaborate with billing and operational teams to resolve coding-related issues and enhance claim acceptance rates

Required qualifications

• Two years of experience in medical record coding and denial management
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines and medical terminology
• Proficiency with coding encoder software and electronic medical record (EMR) systems
• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required
• Familiarity with Medicare, Medicaid, and commercial payer policies related to coding and reimbursement