EverHealth - Medical Coder (Remote, US)

EverCommerce (Nasdaq: EVCM) is a leading service commerce platform, providing vertically-tailored, integrated SaaS solutions that help more than 745,000 global service-based businesses accelerate growth, streamline operations, and increase retention. Its modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals. With its EverPro, EverHealth, and EverWell brands specializing in Home, Health, and Wellness service industries, EverCommerce provides end-to-end business management software, embedded payment acceptance, marketing technology, and customer experience applications.

We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here: https://careers.evercommerce.com/us/en 

Job Description

The Certified Medical Coder is responsible for reviewing patient medical records and assigning accurate diagnosis and procedure codes for physician and facility services. This position ensures compliance with federal regulations, payer requirements, and coding guidelines while supporting timely claim submission, reimbursement accuracy, and overall revenue cycle performance. The Certified Medical Coder works closely with providers, billing staff, and other revenue cycle team members to maintain coding accuracy and reduce claim denials.

Essential Duties and Responsibilities

• Review medical records, provider documentation, and encounter forms to determine appropriate diagnosis and procedure codes.
• Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes based on documentation and coding guidelines.
• Ensure coding compliance with CMS, Medicare, Medicaid, commercial payers, and regulatory agencies.
• Audit medical records for completeness, accuracy, and documentation deficiencies.
• Communicate with providers regarding coding clarification requests and documentation improvement opportunities.
• Identify and resolve coding-related claim denials and rejections.
• Maintain productivity and quality standards established by the organization.
• Stay current with coding updates, payer policies, and industry regulations.
• Assist with internal coding audits and compliance reviews.
• Collaborate with billing, collections, and revenue cycle teams to support reimbursement optimization.
• Participate in ongoing education and training related to coding and compliance.
• Maintain confidentiality of patient information in accordance with HIPAA regulations.

Required Qualifications

• High school diploma or equivalent required.
• Completion of an accredited medical coding program preferred.
• Current medical coding certification required.
• Minimum of 1-2 years of coding experience preferred.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Understanding of medical terminology, anatomy, physiology, and healthcare reimbursement methodologies.
• Knowledge of payer guidelines, claim processing, and revenue cycle management.
• Proficiency in Electronic Health Records (EHR) and practice management systems.
• Strong analytical, problem-solving, and attention-to-detail skills.

Preferred Qualifications

• Associate's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field.
• Experience coding specialty services such as family practice, urgent care, behavioral health, orthopedics, cardiology, or surgical specialties.
• Prior experience with coding audits and denial management.

Key Competencies

• Accuracy and attention to detail
• Critical thinking and analytical skills
• Time management and productivity
• Knowledge of healthcare regulations
• Communication and collaboration
• Compliance and ethical decision-making
• Problem-solving abilities

Physical Requirements

• Prolonged periods of sitting and computer work.
• Ability to review electronic medical records and coding documentation for extended periods.
• Ability to work independently in an office or remote environment.

Medical Coding Certifications

The following certifications are commonly recognized and align with medical coding positions:

AAPC Certifications

Certified Professional Coder (CPC)

• Most widely recognized physician-based coding certification.
• Focuses on outpatient and professional-fee coding.

Certified Outpatient Coder (COC)

• Designed for hospital outpatient and facility coding.

Certified Inpatient Coder (CIC)

• Focuses on inpatient hospital coding.

Certified Risk Adjustment Coder (CRC)

• Specializes in Hierarchical Condition Category (HCC) and risk adjustment coding.

AHIMA Certifications

Certified Coding Associate (CCA)

• Entry-level certification for coders beginning their careers.

Certified Coding Specialist (CCS)

• Advanced certification focusing on hospital inpatient and outpatient coding.

Certified Coding Specialist - Physician-based (CCS-P)

• Advanced certification for physician-office and outpatient coding.

Registered Health Information Technician (RHIT)

• Includes coding knowledge and broader health information management responsibilities.

Registered Health Information Administrator (RHIA)

• Advanced credential focused on health information management, compliance, and leadership.

Recommended Certification Requirements

For most physician practice and revenue cycle organizations:

Required:

• CPC, CCS-P, CCS, or CCA

Preferred:

• CPC, CCS-P, CCS, CRC, RHIT, or RHIA

Where:

This is a fully remote, US based position with minimal to no travel required. You may be asked to travel up to 4 times per year for quarterly planning. The EverCommerce team is distributed globally, with teams in the U.S., Canada, the U.K., New Zealand, and Australia. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States or Canada – if you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Please note that you must be eligible to work without sponsorship to qualify for this position, and this role may require travel to our Corporate Headquarters in Denver, Colorado, or to other office locations around North America.

Benefits and Perks:

·       Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid

·       Robust health and wellness benefits, including an annual wellness stipend

·       401k with up to a 4% match and immediate vesting

·       Flexible and generous (FTO) time-off

·       Employee Stock Purchase Program

Compensation: The target base compensation for this position is $19 - $23 per hour (40 hours minimum per week) in most US locations. Final offer amounts are determined by multiple factors including location, local market variances, and candidate experience and expertise, and may vary from the amounts listed above.

EverCommerce is an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender identity, sexual orientation, age, marital status, veteran status, or disability status. We look forward to reviewing your credentials and getting to know more about your experience!

EverCommerce uses approved artificial intelligence (“AI”) tools to support its business operations. Employees are encouraged to use authorized AI tools, when appropriate for their roles, to improve efficiency, quality, and innovation. All AI use must comply with company policies, including requirements concerning confidentiality, data security, intellectual property, accuracy, and human review. Employees remain responsible for reviewing and validating AI-assisted work.