Certified Coder

Job Description

Job Description

Job Description:

Remote work after 90 days
AAPC sponsored CPC or the AHIMA sponsored CCS certification is a requirement for this Certified Coder position.

This position is responsible for reviewing physicians’ documentation and assigning accurate CPT, ICD-9, and ICD-10 diagnosis and procedure codes to support compliant reimbursement and claim processing. The Certified Coder ensures that coding practices align with established guidelines, third-party payer requirements, regulatory standards, and accreditation expectations.

Responsibilities

• Review clinical documentation and assign accurate diagnosis and procedure codes for reimbursement.
• Analyze and abstract medical record information to support consistent coding and billing outcomes.
• Resolve coding discrepancies and respond to coding-related inquiries.
• Review and correct rejected claims from third-party payers.
• Maintain account records, pending reports, and coding-related tracking systems.
• Monitor record requests, open encounters, and related account activity.
• Support compliance with coding guidelines, reimbursement policies, and regulatory requirements.
• Perform CLIA renewal tracking and other administrative coding support tasks as assigned.

Qualifications

• AAPC CPC or AHIMA CCS certification required.
• Associate’s degree required, or five years of relevant experience in lieu of a degree.
• Working knowledge of coding requirements, CPT, ICD-9, ICD-10, and reimbursement guidelines.
• Strong written and verbal communication skills.
• Highly organized with the ability to manage multiple priorities and deadlines.
• Proficiency in Microsoft Office, especially Word and Excel.
• Ability to work independently, maintain confidentiality, and adapt to changing priorities.