Certified Coder
RemoteUnited States
Job Summary
Review medical documentation and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes while ensuring regulatory compliance. Analyze coding-related denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes. Collaborate with billing and operational teams to resolve claim issues, reduce recurring denials, and implement process improvements for workflow enhancements. Stay current on changes to coding regulations and payer policies through ongoing education and professional development. Full-time employment with competitive base compensation and health benefits.
Required Qualifications
- Two years of experience in medical record coding and denial management
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements
- Proficiency with coding encoder software, electronic medical record (EMR) systems
- Knowledge of Medicare, Medicaid, and commercial payer policies, including documentation, coding, reimbursement, and compliance requirements
- Strong analytical and problem-solving skills with the ability to research coding regulations, interpret payer policies, identify root causes of denials, and develop effective solutions
- Ability to review, interpret, and apply complex medical documentation, coding guidelines, policies, procedures, laws, and regulations
- Ability to exercise sound independent judgment while maintaining a high degree of accuracy, attention to detail, and professionalism
- Excellent written and verbal communication skills
- Strong interpersonal skills with the ability to build collaborative working relationships with providers, operational leaders, and revenue cycle teams
- Demonstrated commitment to confidentiality, ethical conduct, and compliance with HIPAA and organizational policies
- Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC)
- Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA)
- Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA)
Desired Qualifications
- EPIC experience
- Experience reviewing and resolving coding-related denials, underpayments, and payer audit findings
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