Job Title: Certified Medical Coder
Location: Remote: Must be in AL, FL, GA, IL, MD, NJ, NC, TX, VA, WV, IA, or NY.
Hire Type: Temp-to-Hire
Pay Range: $23.00 - $27.30/hour
Work Type: Full-time
Work Model: Remote
Work Schedule: Monday – Friday, 8am – 4:30pm
Nature & Scope:
Positional Overview
The Imagine Group is recruiting for a Certified Medical Coder on behalf of our client, a leading not-for-profit healthcare network serving Western New York, this organization provides comprehensive medical services through hospitals, outpatient centers, and long-term care facilities across the region. It is committed to advancing community health through innovation, education partnerships, and patient-centered care.
In this role, you will be responsible for reviewing and accurately assigning diagnostic and procedural codes to patient records in compliance with ICD-10, CPT, and HCPCS guidelines. You will ensure proper documentation supports billed services, maintain regulatory compliance, and collaborate with providers and billing teams to resolve discrepancies. Attention to detail and knowledge of healthcare reimbursement processes are essential to support accurate claims submission and optimal revenue cycle performance.
Role & Responsibility:
Tasks That Will Lead to Your Success
- Review E/M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes.
- Work with RCM team to identify patterns, trends and variations in coding and documentation practices.
- Prepare documentation summary/findings to support development of corrective action plans.
- Assist management team in the development of effective education programs for staff.
- Provide on-going guidance to RCM team on the correct use of modifiers.
- Assist RCM team with documentation required to appeal claims and overturn denials.
- Assess claims to ensure adherence with payer guidelines.
- Research and work collaboratively with clinic staff to capture all billing activities (e-bill management).
- This may require access to additional information systems (EMR or Data Warehouse).
- Respond to RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.
- Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
- Maintain productivity and accuracy standards as determined by each division.
- Deliver exemplary customer service in order to provide a positive experience across the organization.
- Perform other duties assigned by management.
Skills & Experience
Qualifications That Will Help You Thrive
- Current CPC, CCS, RHIA or RHIT certification required, associate’s degree or equivalent experience preferred.
- 1-3 years of progressive coding experience within Gastroenterology coding required.
- Working knowledge of anatomy, physiology and medical terminology required.
- Experience working in EMR system preferred.
- Ability to multi-task required, strong organizational skills.
- Strong customer service and communication skills with ability to utilize computer programs.