Certified Coder
Join our Revenue Integrity team as a Certified Coder. You'll review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes to support correct billing, clean claims, and timely reimbursement. This role blends careful attention to detail with clear communication to providers and clinic staff.
Primary responsibilities include:
- Review provider documentation and assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT/HCPCS).
- Apply current E/M guidelines, modifiers, NCCI edits, and payer rules to ensure compliance.
- Work coding work queues in the EMR; resolve edits and charge capture issues for clean claim submission.
- Perform pre-bill reviews and post-bill audits; identify trends and recommend fixes.
- Partner with providers on documentation improvement; send clear, compliant queries when needed.
- Research payer policies (LCD/NCD), coverage rules, and denials; assist with appeals.
- Maintain productivity and accuracy targets; document work according to department standards.
- Stay current on coding updates and regulatory changes (CMS, OIG, 21st Century Cures Act).
- Protect PHI and follow HIPAA privacy and security policies.
Core benefits include:
- Comprehensive health, dental, and vision insurance, including a health navigation assistant.
- Employer-provided life insurance and short- and long-term disability coverage.
- Up to $5,250 annually for tuition reimbursement.
- Starting at 17 frontloaded PTO days, 6 paid holidays, and 5 paid volunteer days.
- Up to 12 weeks of paid parental leave, childcare assistance, and financial support for adoption and surrogacy.
- Bi-weekly 401(k) employer match and access to earned wages before payday through the Instant Pay Benefit.
Qualifications:
- Current coding certification required: CPC, COC, or CCS/CCS-P.
- 12 years of professional coding experience preferred (ambulatory/specialty clinic experience a plus).
- Strong knowledge of ICD-10-CM, CPT/HCPCS, E/M 2021+ guidelines, modifiers, and NCCI edits.
- Familiarity with payer policies, medical necessity, and denial/appeal workflows.
- Comfortable working in an EMR and coding/encoder tools; Epic experience preferred.
- High attention to detail, clear communication skills, and a patient-first mindset.
- High school diploma or GED required; additional coursework in anatomy, physiology, and medical terminology preferred.
Make a meaningful impact by ensuring accurate coding and supporting excellent patient care. Apply today to join our team!