CPC Certified Medical Coder

Job Summary

To support medical record management, the full-time CPC Certified Medical Coder will process medical records requests, conduct claim reviews for pre-payment and post-payment functions, and ensure compliance with coding guidelines while working remotely.

Key responsibilities

• Assure timely and accurate medical records requests and processing
• Make audit decisions on claims and research payment decisions based on coding guidelines
• Identify process improvements and report claim issues to management

Required qualifications

• Associates degree required; equivalent work experience may be accepted
• Certification as a CPC, RHIT, or RHIA is required
• One year of medical billing coding experience preferred
• Familiarity with Medicaid/Medicare reimbursement methodologies preferred
• Knowledge of diagnosis codes and CPT coding guidelines is essential