Certified Medical Coder

Job Summary

Focusing on claims audits for appeals, the full-time remote Certified Medical Coder will perform daily audits for completeness and accuracy based on coding guidelines while applying client-specific regulations and maintaining production standards.

Key responsibilities

• Conduct daily audits on provider appeals to ensure compliance with coding guidelines and appropriateness for reimbursement
• Utilize Cotiviti applications to process CV appeals and review quality feedback to enhance accuracy and production standards
• Engage in ongoing training and communicate findings to team leads to support continuous improvement within the department

Required qualifications

• High School Diploma or GED required
• Nationally certified medical coder (CPC, CCS, etc.) by AAPC or AHIMA
• 1-2 years of medical coding experience with a focus on CPC coding
• Strong knowledge of medical terminology, anatomy, and official coding guidelines
• Ability to work efficiently in a fast-paced environment and manage deadlines