Medical Coder - Audits & A/R Claims Reconsideration

Nephrology Associates is a patient-focused healthcare organization delivering high-quality care across multiple sites. They seek a detail-oriented and experienced Medical Coder with certification to support accurate billing, coding compliance, and timely reimbursement.

This role involves supporting audits and accounts receivable claims reconsideration processes by reviewing denied or underpaid claims, ensuring coding accuracy, and identifying opportunities for revenue recovery in compliance with payer and regulatory guidelines.

Responsibilities include assisting with audits and internal compliance, reviewing and analyzing denied or underpaid claims to determine corrections or appeal strategies, performing coding corrections using ICD-10, CPT, and HCPCS guidelines, supporting the A/R follow-up team with coding expertise for reconsiderations and appeals, maintaining compliance with federal regulations and payer guidelines, collaborating with providers and staff to clarify documentation for improved coding accuracy, and identifying denial or underpayment trends with recommendations for process improvements.

Qualifications required include Certified Professional Coder (CPC), CCS, or equivalent certification, 2-3 years of medical billing and coding experience (specialty experience preferred), strong knowledge of ICD-10, CPT, HCPCS, and payer-specific billing rules, experience with EHR/PM systems (eClinicalWorks, Athena, Epic), familiarity with Medicare, Medicaid, and commercial payer guidelines, high attention to detail, analytical and problem-solving skills, and prior work in multi-site or specialty practice environments.

Key competencies are accuracy, attention to detail, strong communication, collaboration, time management, prioritization skills, and commitment to compliance and continuous improvement.

The position offers a competitive salary based on experience, health, dental, and vision insurance, paid time off and holidays, retirement plan with employer contribution, and professional development opportunities.

Work location is hybrid remote in Chattanooga, TN.