2 coder jobs found

About the Role  We are seeking a medical billing and coding expert to support clients and internal  go-to-market teams by evaluating the reimbursement readiness of novel care delivery  models. This is not a production coding or revenue cycle role. It is a strategic advisory  position designed for experienced coding professionals who want to influence product  design, commercialization strategy, and payer alignment, not just apply existing rules. You will help answer questions such as:  • Can this service plausibly be billed today, and if so, how?  • What precedent exists, even if indirect?  • Where do coding constraints meaningfully limit scale or revenue?  • What changes to workflow, documentation, or product design improve feasibility?  Engagement Model  This is a project-based, independent contractor role, not a traditional full-time position.  Engagements are scoped and staffed on a per-project basis, typically starting with one or  two defined projects to assess...

CPC Expertise in medical record review to abstract information required to support accurate coding. Ability to identify documentation deficiencies and properly query providers for proper code capture. Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes for diagnoses and procedures. Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture. CPB Proven knowledge of how to submit claims compliant with government regulations and private payer policies. Ability to follow up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. In-depth knowledge of...