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 established coding guidelines and collaborating with revenue cycle partners.

Key responsibilities

• Review and resubmit corrected claims to insurance while maintaining a minimum of 92% coding accuracy
• Create appeal letters/forms with medical documentation and escalate coding-related questions to the Coding Manager
• Utilize internal coding resources and payer guidelines to ensure compliant coding for all assigned services

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
• Prior experience in reviewing and correcting coding errors and submitting appeals
• Demonstrated ability to exercise independent judgment in coding and claim resolution
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)