Medical Coding Specialist - I

About The Role

The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes.

Requirements

• Must hold a current AAPC or AHIMA Certification for a minimum of 3 years
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines
• Familiarity with proper English grammar, usage, and professional documentation standards
• Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues
• Ability to read, interpret, and apply policies, procedures, laws, and regulations
• Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures
• Demonstrated ability to exercise independent judgment in coding and claim resolution
• Excellent written and verbal communication skills, including the ability to clarify documentation needs and maintain collaborative working relationships with physicians and staff
• Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements
• Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Minimum of 3+ years of professional coding experience