Certified Medical Coder

Job Summary

To manage claims coding and submission processes, the full-time Certified Medical Coder will work remotely to handle insurance denial management, payment processing, and ensure compliance with federal and legal guidelines.

Key responsibilities:

• Review coding and submit accurate claims based on patient medical records using CPT and ICD-10 coding
• Follow up on insurance claim denials and unprocessed claims while resolving outstanding receivables
• Process and post payments, including Medicaid and Medicare transactions, and communicate with clients and providers to address inquiries

Required qualifications:

• High School Diploma or GED
• Valid Certified Professional Coder Certification
• Minimum 3 years of medical billing and coding experience in healthcare or medical office billing
• Experience with Federally Qualified Health Centers (FQHC) or Tribal Health Organizations preferred
• Strong knowledge of medical terminology, CPT, and ICD-10 coding standards