This isn't just a job; it's a chance to build something that matters. As a Certified Professional Coder (CPC), DME, you'll be shaping the future of at-home care. You'll be a key part of the team, working to make sure every order we fill is coded and documented correctly the first time, so patients get their equipment without delay and payors have no reason to say no.
Within your first year, you will have the opportunity to:
Own the code set. You will be the final word on HCPCS Level II, modifier, and ICD-10-CM selection across our catalog, from CPAP and oxygen to hospital beds, enteral nutrition, mobility, and incontinence supplies.
Get us audit-ready and keep us there. You will run internal chart audits, lead our responses to payor and DME MAC documentation requests, and make sure our files hold up as volume grows.
Cut coding-driven denials measurably. Working with our RCM team, you will trace denials and write-offs back to their root cause and fix the upstream process instead of reworking claims one at a time.
The Skills and Experience You'll Leverage:
Active CPC (AAPC) or CCS (AHIMA) certification, with 3+ years coding or billing DMEPOS specifically. Credentials like CPMA, CPCO, or a DME-specific certification are a plus.
Fluency in HCPCS Level II and DME modifiers. KX, GA, GY, GZ, RR, NU, UE, RT/LT and the rest are second nature to you, along with the ICD-10-CM coding that has to support them.
Command of coverage policy: DME MAC LCDs and policy articles, standard written order and proof of delivery rules, capped rental schedules, state Medicaid DME manuals, and commercial medical policy.
Hands-on denials and appeals experience. You can read a remit, tell a coding problem from a documentation problem from a contract problem, and write the appeal that wins.
A habit of writing things down. You build SOPs, criteria matrices, and training material rather than keeping the rules in your head.
Comfort with data and systems. Strong spreadsheet skills, and ideally some experience pulling your own reporting.
Comfort with ambiguity and speed. We move quickly, the process often does not exist yet, and you will be the one to build it.
The tools and systems you'll use include:
Coding & policy: AAPC Codify or an equivalent encoder, the CMS DMEPOS fee schedule, the Medicare Coverage Database for LCDs and policy articles, and state Medicaid DME manuals
Claims systems: our internal order and billing platform, clearinghouse and payor portals
Data & reporting: Metabase and Google Sheets
Collaboration: Slack and Google Workspace
Compensation, Benefits & Logistics:
Meaningful Compensation
Comprehensive Health & Wellness: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents.
Plan for the Future: We offer a 401(k) plan to help you save for your future. At this time, the company does not offer a 401(k) match.
Career Growth: You'll have opportunities for rapid career advancement in a company that's at a major inflection point. We want you to grow with us.
Work Environment & Location:
Location. This role is fully remote, and we are open to strong candidates anywhere in the US. If you happen to be in New York City, you are welcome to work out of our Chelsea office, but there is no expectation to be onsite.
Our Pledge for an Equitable Future:
At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.
We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at recruiting@versemedical.com.