Jun 02, 2026

Medical Coding Specialist

Job Description

Medical Coding Specialist - IDR Reviews

Location: Remote
Schedule: Monday - Friday | 9:00 AM - 5:30 PM
Pay Rate: $21.42/hour
Type: Contract-to-Hire

We are seeking an experienced Inpatient Medical Coding Specialist to support retrospective payment reimbursement reviews in a fast-paced, deadline-driven environment. This role requires a strong background in inpatient coding, including extensive experience with CPT codes, modifiers, reimbursement methodologies, and retrospective coding reviews.

The ideal candidate will have 2-4 years of coding experience, strong analytical skills, and prior IDRE experience. Candidates must be able to clearly explain the IDR process during the interview.

Key Responsibilities
  • Perform retrospective inpatient coding and reimbursement reviews
  • Review and analyze CPT, ICD-10-CM, and HCPCS coding for accuracy and compliance
  • Evaluate CPT modifiers and their impact on reimbursement outcomes
  • Interpret Explanations of Benefits (EOBs), including recoupments, corrections, denials, and claim adjustments
  • Conduct detailed reviews across multiple provider specialties with a focus on inpatient services
  • Draft final and binding payment determination letters for clients and disputing parties
  • Ensure compliance with coding regulations, reimbursement guidelines, and billing standards
Required Qualifications
  • 2-4 years of inpatient medical coding experience preferred
  • Strong experience with retrospective coding reviews
  • Prior IDRE experience required
  • Must be able to explain the IDR process during the interview
  • CPC or CCS certification required through AAPC or AHIMA
  • Advanced knowledge of:
    • CPT codes
    • ICD-10-CM
    • HCPCS
    • CPT modifiers and reimbursement methodologies
  • Strong understanding of inpatient coding guidelines and claim review processes
  • Excellent written communication skills and attention to detail