Certified Medical Coder

Job Summary

To ensure accuracy and compliance in medical coding and billing processes, the full-time remote Certified Medical Coder will review clinical documentation and claims, assign appropriate codes, and collaborate with operational teams to enhance reimbursement outcomes.

Key responsibilities

• Review medical records and claims to accurately assign ICD-10-CM, CPT, and HCPCS codes
• Analyze coding-related claim denials and recommend corrective actions to improve reimbursement outcomes
• Collaborate with billing 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
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
• Proficiency with coding encoder software and electronic medical record (EMR) systems
• Knowledge of Medicare, Medicaid, and commercial payer policies