Review and correct provider-assigned coding, resolve claim edits, and support revenue cycle operations. Ensure accurate CPT, ICD-10, and coding compliance while serving as a coding resource for providers and internal teams.

Review, correct, and recode provider-assigned CPT and ICD-10 codes
Resolve claim edits, including NCCI, LCD, and NCD edits
Analyze payer reimbursement discrepancies and prepare appeals for underpayments when appropriate
Respond to provider coding questions and provide coding guidance
Explain coding decisions to Customer Service to support patient inquiries
Ensure coding accuracy and compliance with coding guidelines and payer requirements
Onsite training required for two weeks, with possible extension based on individual needs

Requirements & Qualifications

Medical coder role requiring:

CPC certification required
1-3 years of professional medical coding experience
Strong knowledge of CPT, ICD-10-CM, NCCI, LCD, and NCD guidelines
Experience with claim edits, reimbursement analysis, and coding compliance
Experience with eClinicalWorks preferred
Epic experience is a plus
One onsite interview required

Benefits & Perks

Eligible for:

Medical insurance
Dental insurance
Vision insurance

Medical Coder (Edits) - CPC Required