Certified Professional Coder

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Certified Professional Coder responsible for reviewing and accurately assigning CPT, ICD-10, and HCPCS codes to medical procedures and diagnoses. The role requires ensuring coding accuracy and compliance with federal, state, and payer-specific regulations. The coder will also manage the submission of claims to insurance carriers, focusing on government payer denials, and maintain detailed and compliant documentation within the billing system.

Responsibilities / Job Duties

• Review and accurately assign CPT, ICD-10, and HCPCS codes to medical procedures and diagnoses.
• Ensure coding accuracy and compliance with federal, state, and payer-specific regulations, including Medicare and Medi-Cal guidelines.
• Submit claims to insurance carriers, including government payers, in a timely and accurate manner.
• Apply proper coding rules specific to Medicare and Medi-Cal claims, including NCCI edits and medical necessity requirements.
• Review and resolve claim edits, rejections, and denials, with a strong focus on government payer denials.
• Perform corrections and rebill claims as necessary.
• Verify documentation supports billed services and coding selections.
• Work closely with providers and clinical staff to clarify diagnoses and procedures.
• Maintain detailed and compliant documentation within the billing system.
• Monitor accounts receivable and follow up on outstanding claims as needed.
• Stay up to date with coding updates, payer policies, including CMS and Medi-Cal regulations.

Minimum Education and Experience Qualification Requirements

Education

• Certified Professional Coder (CPC) through AAPC or equivalent certification (e.g., CCS, CCA).
• Candidates with an expired certification number but a minimum of three years of relevant coding experience may be considered.

Experience

• 2-4 years of medical coding and billing experience required.
• Proven experience with CPT, ICD-10, and HCPCS coding.
• Hands-on experience billing and coding for Medicare and Medi-Cal claims, including understanding of payer-specific rules and reimbursement structures.
• Experience working claim edits, denials, and payer follow-up.

Schedule / Shift

Mon-Friday - 9-5pm. First 30 days are fully in-office (5 days a week) then after that, it will be hybrid (2-3 days remote).

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).


Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.