Medical Coding Professional
6 days ago
Certified Medical Coder Job Summary
Our organization is seeking a highly motivated and detail-oriented Certified Medical Coder to join our team. The successful candidate will be responsible for reviewing clinical documentation, accurately assigning codes, and ensuring compliance with payer and regulatory guidelines.
Key Responsibilities:
- Review and audit provider documentation (chart notes) for coding accuracy and completeness
- Assign or suggest appropriate ICD-10-CM and CPT codes in compliance with CMS and payer guidelines
- Communicate with providers for clarification when documentation is unclear or insufficient
- Identify documentation gaps, coding trends, and opportunities for provider education or process improvements
- Collaborate with billing staff and team leads to resolve coding-related issues
- Stay current with coding updates, payer policy changes, and specialty-specific coding rules
- Ensure all charts meet compliance standards and support appropriate reimbursement
- Contribute to denial prevention by supporting clean claim submission through thorough documentation review
- Maintain strict HIPAA compliance and confidentiality in all activities
Requirements:
- Certified Professional Coder (CPC) from AAPC (active status required)
- Minimum of 2 years' experience in medical coding for U.S.-based providers
- Strong knowledge of ICD-10-CM and CPT coding systems Solid understanding of medical terminology, anatomy, and physiology
- Familiarity with U.S. payer guidelines, NCCI edits, and CMS rules
- Experience with EMR/EHR systems such as WRSHealth, eClinicalWorks, Athenahealth, Kareo, DrChrono, etc
- High attention to detail and strong coding accuracy
- Ability to work independently and meet deadlines
- Comfortable working graveyard shift (U.S. hours)
- Stable internet connection
- Excellent written and verbal English communication skills
Preferred Qualifications:
- Coding experience in specialty areas such as Behavioral Health/Psychiatry, ENT, or Internal Medicine
- Exposure to denial handling and billing workflows Additional certifications such as CPMA or CRC
- Background in RCM or BPO coding environments
About the Opportunity:
This is an excellent opportunity to work in a dynamic and growing organization, contributing to the success of our team. We offer a competitive compensation package and a chance to grow your career in medical coding.
What We Offer:
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Diverse and inclusive work environment
- Chance to work on challenging projects and contribute to the success of our team
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