Telehealth Medical Coder

Responsible for accurate and compliant coding of telehealth encounters with a primary focus on Medicare Annual Wellness Visits (AWVs) and HEDIS gap-closure services.

This role supports quality-measure capture and ensures proper assignment of ICD-10, CPT, and HCPCS codes while maintaining compliance with CMS, HEDIS, and payer-specific requirements.

Key responsibilities include:

• Develop and support a compliant coding program to promote accurate billing practices, audit readiness, and regulatory compliance.
• Assign ICD-10-CM diagnosis codes based on provider documentation.
• Code CPT/HCPCS services for initial and subsequent Annual Wellness Visits.
• Ensure telehealth modifiers and place-of-service codes are correct.
• Validate coding for HEDIS measures and support measure closure.
• Review charts for missing codes, incomplete documentation, and unsupported diagnoses.
• Provide feedback to providers and nursing staff on documentation deficiencies.
• Participate in internal coding audits and quality reviews.
• Serve as a coding resource for providers, nurses, and quality teams.
• Assist with coding education and documentation improvement.