Sep 10, 2026

Professional Coder I

Job Description

Professional Coder IOur client, a health insurance company, is looking for a Professional Coder I for their remote location. Responsibilities include understanding and translating CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations. Identify, compile, and code member/patient data, using ICD-9/ICD 10-CM and other standard classification coding systems. Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable. Support educational activities for internal stakeholders as necessary as subject matter expert on coding review/guidelines. Actively participate and engage in program improvement discussions and activities. Maintain department productivity and accuracy standards.Requirements include current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist, P from the American Health Information Management (AHIMA). Requires 2 - 5 years of medical coding experience. Requires a minimum of 2 years' experience in health insurance/quality chart audits and/or utilization review. Bachelor's degree preferred. Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding. Requires knowledge of medical terminology of medical procedures, abbreviations, and terms. Requires knowledge of the health care delivery system. Requires the ability to utilize a personal computer and applicable software (e.g. proficiency in Word and Excel). Must have effective verbal and written communication skills and demonstrate the ability to work well within a team. Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development. Proven ability to exercise sound judgment and problem solving skills. Proven ability to ask probing questions and obtain thorough and relevant information.Why should you apply? Health benefits, referral program, excellent growth and advancement opportunities.