Certified Coder

Job description:

Job Description:
The Certified Medical Coder is responsible for reviewing, analyzing, and assigning accurate medical codes for diagnoses, procedures, and treatments performed across healthcare settings. This role ensures compliance with federal, state, and insurance guidelines while supporting clinical staff and billing teams to guarantee timely reimbursement and maintain data accuracy.

Key Responsibilities

• Review clinical documentation to verify accuracy and completeness.
• Assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services.
• Abstract and enter patient data into electronic health record (EHR) systems.
• Ensure coding compliance with New York State regulations, Medicare/Medicaid, and private insurance guidelines.
• Collaborate with physicians and healthcare providers to clarify documentation as needed.
• Investigate and resolve coding-related claim denials or rejections with billing departments.
• Maintain up-to-date knowledge of coding changes, payer rules, and legal requirements.
• Adhere strictly to HIPAA and organizational privacy/confidentiality protocols.
• Assist in internal coding audits and participate in ongoing training and professional development.

Qualifications

Required Qualifications:

• Certified Professional Coder (CPC) Certification.
• Associate’s Degree.
• In lieu of an Associate’s degree, 5 years of experience is required.
• Working knowledge of coding requirements
• Must have excellent expressive and written communication skills.
• Must be highly organized.
• Must be proficient in Microsoft Office Word and Excel
• Must be certified through AHIMA or AAPC with extensive evaluation and management coding experience.

Schedule: 9:00AM - 5:30PM

Job Type: Full-time