Certified Medical Coder

Key Responsibilities

• Review and assign appropriate codes for both facility (hospital) and professional (physician) billed services

• Ensure accuracy of ICD-10-CM, CPT, HCPCS , and modifier usage per payer guidelines

• Evaluate and resolve claim denials, including medical necessity and timely filing issues

• Provide feedback on payer denials and assist with the appeal process when appropriate

• Reference and interpret UB04, CMS-1500, EOBs , and RAs to support coding validation

• Collaborate with internal teams and external partners to resolve coding discrepancies

• Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations

• Work independently and maintain productivity standards in a fully remote setting

• Use electronic health record (EHR) syst...