CPC Certified Medical Coder

Job Summary

A company is looking for a General Coder with experience in bill audit reviews.

Key Responsibilities:

• Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)
• Conduct utilization reviews to assess medical necessity and documentation compliance
• Review and prepare demand packages for personal injury and insurance cases

Required Qualifications:

• Active CPC certification through the American Academy of Professional Coders (AAPC)
• Minimum 5-7 years of professional coding experience
• Documented experience performing audits or utilization reviews in multiple states
• Strong knowledge of CMS regulations and state Medicaid variations
• Prior demand package review or litigation support experience required