Coder I - MPG - FT - Days - MSS - Remote Eligible
Core
Reviews medical record documentation and assigns codes to medical diagnoses, procedures, and modifiers to ensure proper billing and compliance.
Role type
Medical Coder (HIM)
Builds
Accurate billing submissions and quality reviews for healthcare providers
Domain
Healthcare / Health Information Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, anatomy and physiology, coding classification systems, encoder software, CMS regulations, Local Medical Review Policy (LMRP), Ambulatory Payment Classifications (APC), Enhanced Ambulatory Patient Groups (EAPG), Local Coverage Determination (LCD), HCC Coding Hierarchical Condition Category
Preferred skills
None stated
Technologies
Encoder software, electronic medical record system
Responsibilities
Communicate with insurance companies about coding errors and disputes; abstract data points for billing and quality reviews; conduct audits and coding reviews with healthcare professionals; assign and sequence basic CPT procedure codes and modifiers; review ADT fields and validate data accuracy; collaborate with billing department to ensure bills are satisfied; submit daily productivity reports; maintain coding knowledge and skills through education.
Seniority
Entry-level to Mid-level, individual contributor