Senior Medical Coder
Core
Senior Medical Coding Specialist ensuring coding accuracy, compliance, and revenue optimization for US healthcare clients by reviewing medical documentation and validating diagnosis and procedure codes.
Role type
Senior Medical Coding Specialist (Revenue Integrity)
Builds
Clean claims and accurate reimbursement for US healthcare clients
Domain
Healthcare / Medical Coding / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM, CPT, HCPCS, modifier usage, Medicare guidelines, physician-office coding, Evaluation & Management (E&M) services, Medical Decision Making (MDM), time-based coding, coding audits, documentation review
Preferred skills
Internal Medicine, Family Medicine practice experience
Technologies
ICD-10-CM, CPT, HCPCS
Responsibilities
Review clinical documentation and validate ICD-10-CM, CPT, and HCPCS code selection; Evaluate office visit coding based on current E&M guidelines; Conduct routine coding audits across submitted and pending claims; Identify coding discrepancies such as undercoding, overcoding, and unbundling; Verify appropriate modifier assignment and usage; Analyze coding accuracy metrics and recommend corrective actions
Seniority
Senior, hands-on IC