About this role
Role Overview
- Accurately assign and appropriately sequence ICD-10 and CPT codes and all applicable modifiers
- Contact clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes
- Monitor regulatory and payer changes as they apply to diagnostic and procedure coding
- Research and resolve coding related system edits, payer rejections and insurance denials
- Identify system edit, payer rejection, and insurance denial trends for client policy and procedure improvement
- Maintain up to date knowledge of the current changes of coding practices by continuing education and reading resource material
- Other innovative and progressive duties as assigned
Requirements
- Active credentials such as CPC, CCS-P, CIC, COC, or CRC (coding certification must be role-aligned)
- 3+ years of experience in medical coding for professional fee and facility
- Experience with orthopedic coding and worker's compensation
- Professional coding experience with CPT, ICD-10-CM, HCPCS, and modifier assignment
- Experience working within EMR/EHR platforms, preferably eClinicalWorks (ECW)
- Experience with charge entry and coding validation
- Ability to review and resolve coding-related denials, rejections, and submission errors
- Strong understanding of documentation requirements and coding compliance
- Experience supporting high-volume physician practice environments
- Multi-specialty physician coding experience strongly preferred
- Experience with denial analysis and coding correction workflows preferred
Benefits
- Access to a 401(k) Retirement Savings Plan
- Comprehensive Medical, Dental, and Vision Coverage
- Paid Time Off
- Paid Holidays
- Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services