Certified Coder

Responsibilities

• Review medical record documentation and claim information to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes
• Analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes
• Research payer policies and coding guidelines to support denial appeals and claim corrections
• Collaborate with billing and operational teams to resolve coding issues and improve first-pass claim acceptance rates
• Monitor coding and denial trends to implement process improvements and workflow enhancements
• Stay current on changes to coding regulations, reimbursement methodologies, and industry best practices

Requirements

• Two years of experience in medical record coding and denial management
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines
• Proficiency with coding encoder software and EMR systems (EPIC preferred)
• Knowledge of Medicare, Medicaid, and commercial payer policies
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
• Strong analytical, problem-solving, and communication skills
• Commitment to HIPAA compliance and ethical conduct

Benefits

• Competitive base compensation
• Health benefits