Certified Medical Coder

Job Summary

Reviewing multi-specialty inpatient and outpatient clinical Charge Correction requests, the full-time Certified Medical Coder will ensure accuracy in ICD-10, CPT, and HCPCS coding, make necessary corrections, and file replacement claims while primarily working remotely after an initial training period.

Key responsibilities

• Review and correct coding for inpatient and outpatient Charge Correction requests
• Ensure compliance with LCD, NCD criteria, and insurance billing guidelines
• Electronically file replacement claims and assist with payment posting as needed

Required qualifications

• High School Diploma/GED (relevant experience may be substituted for formal education)
• 1+ years of medical coding experience
• AAPC CPC or CPC-A coding certification
• Experience in ICD-10, CPT, and HCPCS Level II coding
• Ability to determine medical necessity based on provider documentation