Certified Medical Coder
Boomerang Healthcare · Walnut Creek, CA · 1 wk ago
On-siteHealthcare$26–$33/hrFull-time
This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.
Responsibilities
- Assign accurate CPT, HCPCS, and ICD-10 codes for all services performed at BHC facilities.
- Apply appropriate modifier usage based on payer and service requirements.
- Ensure documentation supports medical necessity, procedural complexity, and level of services.
- Apply correct diagnosis sequencing and body-part specificity required for WC claims.
- Support WC-specific documentation requirements, including injury dates, causality, and treating physician narratives.
- Collaborate with billing teams to ensure correct claim formats, attachments, and WC payer rules are met.
- Ensure coding compliance with CMS, AMA, NCCI, and OIG guidelines.
- Participate in internal and external coding audits, implement corrective actions as needed.
- Identify coding trends that impact denials, underpayments, or compliance risk.
- Provide feedback and education to providers to improve documentation and coding accuracy.
- Assumes other responsibilities as appropriate to the position and organizational needs.
Requirements
- High school diploma or equivalent required; Associate degree preferred.
- Active coding certification required: CPC, CCS, or equivalent (AAPC or AHIMA).
- Minimum 3-5 years of medical coding experience in pain management, workers’ compensation billing.
- Demonstrated experience with FRP or multidisciplinary rehab models as well as Commercial and Medicare pain management coding.
- Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams.
- Experience with multiple EHR/Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar).
- Basic understanding of NCCI edits and payer-specific billing guidelines.
- Accuracy and attention to detail, analytical thinking and problem solving, and high integrity and compliance focus.
- Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications.
Pay
Compensation Range: $26.00 to $33.00 Hourly
Benefits
- Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO).
- 401(K) Plan with Employer Matching.
- License & Tuition Reimbursements.
- Paid Time Off.
- Holiday Pay & Floating Holiday.
- Employee Perks and Discount Programs.