Certified Professional Coder (CPC)

Job Summary

As a Certified Professional Coder (CPC) specializing in DME, the full-time remote position will manage HCPCS Level II coding, ensure audit readiness, and reduce coding-driven denials to enhance patient care and streamline billing processes.

Key responsibilities

• Own and oversee the coding set for DME products, ensuring accurate HCPCS Level II and ICD-10-CM selections
• Conduct internal chart audits and lead responses to documentation requests from payors and DME MAC
• Collaborate with the RCM team to trace and resolve coding-driven denials by improving upstream processes

Required qualifications

• Active CPC (AAPC) or CCS (AHIMA) certification with a minimum of 3 years of experience in DMEPOS coding or billing
• Fluency in HCPCS Level II codes and DME modifiers, along with strong knowledge of ICD-10-CM coding
• Experience with DME MAC LCDs, coverage policies, and standard documentation rules
• Proven hands-on experience with denials and appeals, including writing successful appeals
• Strong spreadsheet skills and comfort with data systems, including experience in reporting