Certified Medical Coder

Job Summary

To ensure accurate and timely claim payments, the full-time remote Certified Medical Coder will independently review, analyze, and resolve front-end scrubs and denied claims while applying coding guidelines and collaborating with revenue cycle partners.

Key responsibilities

• Review and correct coding errors prior to claim submission and resubmit corrected claims or appeals for denied claims
• Maintain a minimum of 92% coding accuracy by assigning appropriate ICD-10-CM and CPT codes based on medical records and documentation
• Stay current with coding laws, regulations, and payer guidelines while participating in department meetings and mentoring sessions

Required qualifications

• Current AAPC or AHIMA Coding Certification with a minimum of 3 years of experience
• Strong knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Experience in reviewing and correcting coding errors and submitting appeals for denied claims
• Familiarity with insurance guidelines and EOBs
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)