The Certified Coder is responsible for accurate and compliant coding of inpatient and outpatient medical records to support timely billing, clean claim submission, and revenue integrity. This role ensures correct diagnostic and procedural coding in accordance with ICD-10-CM, CPT, HCPCS, CMS guidelines, and payer-specific requirements.
The position works closely with billing teams, clinical staff, and auditors to reduce denials, resolve coding-related issues, and support optimal reimbursement while maintaining coding compliance and data integrity.
Requirements & Qualifications
Required Qualifications
- High school diploma or equivalent
- Active AAPC certification (CPC, CRC, or COC) or AHIMA certification (CCS or CCS-P)
- 2–3 years of professional coding experience in inpatient and outpatient settings
- Strong knowledge of ICD-10-CM, CPT/HCPCS, MS-DRG assignment, APC methodology, NCCI edits, LCD/NCD rules, and payer-specific guidelines
- Ability to interpret clinical documentation and assign accurate codes
- Experience with EHR and coding platforms such as Epic, Cerner, or Meditech
- Strong analytical, organizational, and communication skills
- Ability to work independently and meet deadlines in a fast-paced revenue cycle environment
Preferred Qualifications
- Experience in a revenue cycle management company or large health system
- Familiarity with denial management, coding edits, and appeals
- Knowledge of Medicare, Medicaid, and commercial payer policies
- Advanced computer skills, including Excel and coding analytics tools
- Experience participating in coding audits or education initiatives
Benefits & Perks
Benefits
- 401(k) with employer match
- Health, dental, and vision insurance
- Life insurance
- Paid time off
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago
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