Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

ICD 503 Cppunit Medical Coding Medical Record Management Health Information Management Data Integrity Regulatory Compliance Performance Management Billing Quality Assessment Performance Improvement Diagnosis Codes Compliance Management Procedural Programming Claims And Litigation Management Medical Billing Auditing Continuous Training Continuous Improvement Process

Other Skills

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Collaboration
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Communication
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Training And Development
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Detail Oriented

Roles & Responsibilities

3+ years of experience in medical coding or health information management
Knowledge of ICD-10-CM, CPT, and HCPCS coding standards
Experience reviewing medical records and assigning accurate codes
Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies

Requirements:

Reviews and analyzes medical records to assign accurate diagnostic and procedural codes
Ensures compliance with coding guidelines and organizational policies
Collaborates with healthcare providers to clarify documentation and resolve discrepancies
Conducts audits and monitors productivity and quality metrics to drive performance improvement

Job description

Overview:

This position offers flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX).

Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement.

Responsibilities:

Key Responsibilities:

• Reviews and analyzes medical records to assign accurate diagnostic and procedural codes
• Ensures compliance with coding guidelines and organizational policies
• Collaborates with healthcare providers to clarify documentation and resolve discrepancies
• Maintains the integrity of coded data for billing and reporting purposes
• Supports the billing process by providing accurate coded information for claims submission
• Conducts audits and monitors productivity and quality metrics to drive performance improvement
• Assists in training staff on coding procedures and updates

Qualifications:

Education:

High School Diploma – Required

Certification / Licensure:

Certified Professional Coder (CPC) – Required at time of hire

Please note: CPA-A does not meet the certification requirements for this role.

• 3+ years of experience in medical coding or health information management
• Knowledge of ICD-10-CM, CPT, and HCPCS coding standards
• Experience reviewing medical records and assigning accurate codes
• Strong attention to detail with a focus on compliance and regulatory requirements
• Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies