Medical Coder

Become a part of our caring community and help us put health first
 The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

The Medical Coder is responsible for extracting clinical information from medical records and assigning accurate codes using ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize documentation for accurate reimbursement.

This position requires advanced analytical capabilities, sound independent judgment, and accountability for complex administrative and operational functions. Responsibilities include managing and manipulating clinical databases, responding to internal inquiries, and providing clarification on medical documentation and coding-related information.

Responsibilities

• Code and abstract patient encounters using ICD-10-CM, CPT, and HCPCS.
• Leverage GenAI and other advanced tools to streamline chart reviews and coding workflows.
• Ensure accurate sequencing of codes in accordance with government and payer regulations.
• Review and validate documentation for diagnoses, procedures, and treatment outcomes.
• Extract diagnostic and procedural information from clinical documentation.
• Provide feedback and education to providers to improve documentation quality.
• Respond to internal inquiries regarding medical information.
• Maintain confidentiality and comply with HIPAA regulations.
• Analyze, enter, and manage clinical data within medical databases.
• Coordinate daily priorities and workflows for administrative teams and/or external vendors.
• Monitor progress toward schedules and goals to ensure timely and accurate coding.

Use your skills to make an impact
 
Required Qualifications

• Certified medical coder with one of the following certifications CPC,CPC-A, CPC-H or CPMA from AAPC or CCA, CCSP, CCS from AHIMA
• Proficiency in ICD-10-CM, CPT, and HCPCS coding standards
• Experience with coding software and electronic health record (EHR) systems
• Strong organizational and analytical skills
• Effective verbal and written communication skills
• Ability to work independently with minimal supervision

Preferred Qualifications

• Bachelor's Degree
• 5 or more years of experience as a certified medical coder
• Experience with Medicare Risk Adjustment coding

Additional Information

• Remote Role
• Standard working hours required; 8:00 am - 5:00 pm; Eastern Time Zones
• Ability to travel to office locations as needed
• Incumbent must reside in Florida

Work at Home Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly