Medical Coder

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary of $29 per hour
• Opportunity for career advancement and growth within the organization
• Work remotely from anywhere
• Supportive and collaborative work environment
• Chance to make a positive impact on medical coding accuracy and claims processing

• Review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration
• Analyze medical documentation supporting Evaluation and Management (E/M) services in compliance with CPT, HCPCS, ICD-10, and CMS guidelines
• Conduct clinical research and data analysis to support the development of enterprise reimbursement policies
• Perform detailed coding audits to validate appropriate code assignment and compliance with medical necessity and billing regulations
• Prepare clear documentation outlining findings, coding corrections, and recommendations for claim resolution

• Active certification as a Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent
• 2-3 years of prior Evaluation & Management (E/M) and General Medical Coding (GMC) experience
• Minimum of 3 years’ experience reviewing denied claims and performing coding audits in a healthcare or insurance environment
• Strong knowledge of CPT, HCPCS, ICD-10, and CMS reimbursement guidelines
• Excellent analytical, communication, and documentation skills with strong attention to detail

• Experience handling appeals and denials, including NCD/LCD, duplicate claims, and MUE edits
• Proven ability to interpret medical records and apply coding principles accurately

#Healthcare Services #Medical Coding #Career Opportunity #Remote Work #Claims Processing

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