Medical Coding & Appeals Specialist (HYBRID)

Champion Accurate Coding. Win Appeals. Make an Impact.
Primarily Remote | Monthly Onsite

Love the challenge of proving you’re right?
This role is for coders who don’t just assign codes — they defend them.

You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success.

What makes this role exciting

• You’ll advocate for correct payment, not just code charts
• Your work directly reverses denials and underpayments
• You’ll collaborate with physicians, payers, and fellow coding experts
• Every appeal you win is a tangible victory

What you’ll do

• Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding
• Identify documentation or coding issues that impact reimbursement
• Build, submit, and follow payer appeals through resolution using coding and clinical guidelines
• Research payer policies and apply them to denials, underpayments, and appeal strategies
• Partner with physicians to clarify documentation and strengthen appeals
• Perform charge corrections when coding or billing discrepancies are identified
• Work Epic billing work queues and tasks, including reviewing remittance advice for rejections and payment accuracy
• Support team members with medical terminology, coding guidance, and payer policy interpretation

What you bring

• Solid knowledge of ICD‑10 and CPT (HCPCS experience a plus)
• Experience in medical claims, denials, accounts receivable, or revenue cycle operations
• Comfort working in Epic or similar billing systems to manage claims and follow‑up
• Confidence communicating coding decisions to payers and providers
• A problem‑solving mindset and strong attention to detail

Required certification (one required)

AHIMA: CCA, CCS, CCS‑P, RHIT, RHIA
AAPC: CPC, CPC‑A, CPC‑H, CPC‑H‑A (or approved specialty credential)

Why you’ll love it here

• Primarily remote with just one onsite day per month
• Work that’s meaningful, visible, and measurable
• A team that values your voice, expertise, and curiosity
• The satisfaction of knowing your work protects provider revenue