Certified Medical Coder

We are seeking an experienced Certified Medical Coder to support a 90-day coding quality and claims optimization project. This role will review and validate medical claims, audit AI-generated coding recommendations, identify coding and documentation discrepancies, and help improve billing workflows and coding accuracy. The ideal candidate has strong hands-on knowledge of ICD-10, CPT, HCPCS, modifiers, claim validation, and medical billing workflows. Key Responsibilities Review and validate corrected medical claims prior to submission Audit AI-generated coding recommendations for accuracy Verify ICD-10 diagnosis codes, CPT/HCPCS procedure codes, and modifiers against provider documentation Identify coding errors, documentation deficiencies, and missed coding opportunities Provide recommendations to correct coding and billing issues Perform random and targeted claim audits Track coding errors, trends, and recurring issues Analyze claim holds and coding-related denials to identify root causes Help establish quality checkpoints before claim submission Review Athena revenue cycle and work queue processes Identify opportunities to improve charge capture, claim review, and billing workflows Collaborate with technology/vendor teams to test and validate coding recommendations Provide feedback to improve the accuracy of AI-assisted coding Assist with coding procedures, reference materials, and SOP development Educate billing staff on coding validation, documentation requirements, and coding best practices Required Qualifications Current professional medical coding certification Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifiers Experience reviewing and validating medical claims Experience identifying coding errors and documentation deficiencies Knowledge of medical billing, claim submission, denials, and revenue cycle workflows Experience conducting coding audits or quality reviews Ability to interpret provider documentation and determine appropriate coding Preferred Qualifications Experience with coding quality assurance or compliance auditing Experience training or coaching medical billing/coding staff Experience working with AI-assisted or automated medical coding technology Experience analyzing claim holds, denials, and work queues Benefits / Highlights Approximately 90-day contract assignment Opportunity to work on a coding quality and AI optimization initiative Hands-on involvement in improving coding accuracy and revenue cycle workflows Contract Length: Approximately 90 days Schedule: Monday–Friday, 9:00 AM–5:00 PM #J-18808-Ljbffr