Company Description
At PsynergyHealth, we are revolutionizing healthcare staffing through technology-driven solutions. Our innovative approach spans the United States and delivers tailored staffing support to optimize workforce management—from virtual safety observers to multi-state licensed physicians (and everything in between). We focus on right-sizing workforces, improving clinical outcomes, and enhancing operational efficiencies for healthcare organizations.
Job Summary
We are seeking a detail-oriented Certified Medical Coder with strong experience in Revenue Cycle Management (RCM) to work with our RCM partners and physician leaders to ensure accurate medical coding, timely claim submission, and optimized reimbursement. The ideal candidate will play a key role across the full revenue cycle, from charge capture through payment posting and denial resolution, while maintaining compliance with all regulatory and payer requirements.
Key Responsibilities
Medical Coding & Documentation
- Support clinical leadership in review of provider documentation for completeness, accuracy, and compliance
- Ensure coding complies with federal regulations, payer guidelines, and industry standards
Revenue Cycle Management (RCM) Partnership
- Work with our partners to manage end-to-end RCM processes including charge entry, claims submission, and follow-ups
- Ensure that we submit clean claims to commercial, government, and managed care payers
- Work with our partners to review and resolve claim rejections and denials in a timely manner
- Work with our executive and clinical leadership to identify root causes of denials and implement corrective actions
- Post payments, adjustments, and reconcile accounts as needed
- Monitor accounts receivable (A/R) and follow up on unpaid or underpaid claims
Compliance & Quality
- Stay current with coding updates, payer policies, and regulatory changes
- Participate in coding audits and quality assurance reviews
- Maintain HIPAA compliance and patient confidentiality at all times
Reporting & Collaboration
- Generate and review RCM and coding reports to identify trends and improvement opportunities
- Collaborate with providers, billing staff, and administrative teams to improve revenue performance
- Support process improvements to increase accuracy, efficiency, and collections
Qualifications
Required
- Certified Medical Coder credential (CPC, CCS, or equivalent)
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding
- Experience with Revenue Cycle Management workflows
- Familiarity with EHR and medical billing systems
- Understanding of payer policies, denials management, and compliance standards
Preferred
- 2+ years of experience in medical coding and RCM
- Experience with multiple specialties (e.g., primary care, specialty practices, hospital-based coding)
- Knowledge of Medicare, Medicaid, and commercial payer guidelines
Skills & Competencies
- High attention to detail and accuracy
- Strong analytical and problem-solving skills
- Effective written and verbal communication
- Ability to manage multiple tasks and meet deadlines
- Proficiency in Microsoft Office and billing/coding software
Compensation & Benefits
We offer a competitive compensation package including health benefits, paid time off, retirement plan, and professional development opportunities. Salary is commensurate with experience and ranges from $65,000 to $75,000 per year.