Medical Coder

• Analyze and assign appropriate codes to benefit plan language to ensure accuracy and compliance
• Review and validate coding decisions made by team members for consistency and correctness
• Lead discussions to resolve discrepancies and finalize coding documentation
• Conduct audits on coding results and implement necessary adjustments to maintain quality standards
• Actively participate in project meetings to provide insights and updates on coding processes
• Collaborate with cross-functional teams to align coding practices with organizational goals
• Stay updated on coding and reimbursement methodologies, including ICD-10, CPT codes, and HCPCS
• Provide input and support for managed care projects and related coding requirements
• Create and maintain documentation related to coding processes and audit findings
• Utilize tools like Word, Excel, and PowerPoint to prepare reports and communicate findings

• Certification as a Coder (CPC). AAPC or AHIMA
• Minimum of 3 years of experience in coding and reimbursement methodologies, including ICD-10 and CPT coding
• Minimum of 1 years of experience working with benefit plans and familiarity with benefit plan language
• Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint
• Strong written and verbal communication skills to effectively collaborate with team members and stakeholders
• Prior experience in managed care or a healthcare-related field is highly preferred
• Demonstrated ability to review and audit coding results with attention to detail
• Familiarity with regulatory standards and compliance requirements in healthcare coding
• Ability to work independently in a remote setting while maintaining productivity and meeting deadlines

Prior experience in managed care or a healthcare-related field

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan