Connecticut Licensed Medical Coder

Job Summary

To ensure accurate charge submission for patient clinical services, the full-time remote Connecticut Licensed Medical Coder will manage coding, documentation review, quality assurance, and compliance with federal regulations and HIPAA guidelines.

Key responsibilities

• Acts as an expert resource on procedural and diagnostic coding, advising medical professionals to ensure accuracy and compliance
• Reviews operative and diagnostic reports to validate coding and modifiers, resolving charge review edits in the Epic Professional Billing application
• Follows charge reconciliation processes to ensure all charges are captured and submits clean claims while adhering to established guidelines

Required qualifications

• Certified Professional Coder (CPC) through AAPC, with ongoing certification maintenance requirements
• Six years of related work experience, with at least four years in a similar role, or an Associate degree combined with relevant experience
• Comprehensive knowledge of ICD-10, CPT, HCPCS, and medical terminology
• Proficiency with electronic health record systems and MS Office applications
• Ability to work independently with minimal supervision while maintaining high productivity standards