Medical Device Coder

About the role

Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.

Responsibilities

• Researches pertinent information from various sources such as manufacturers and CMS to assign the Healthcare Common Procedure Coding System (HCPCS) codes, to medical device content.
• Update and maintain our HCPCS library through detailed research.
• Uses research to develop and maintain HCPCS mapping and wizard.
• Provides training to staff members.
• Evaluate accuracy of codes applied to devices using data audits, validations and reviews.
• Updates HCPCS codes as changes are made to GMDN and/or UNSPSC categories.
• Evaluates current categorization schema and provides feedback and training to categorization staff.
• Evaluates medical device content to ensure the accuracy of HCPCS mappings.
• Follows up with manufacturers when code assignments are not straightforward or data is inadequate, ambiguous, or unclear for coding purposes.
• Ensures updates from CMS are applied to data in a timely manner using maintenance tools.
• Ensures accuracy of codes and codes are current and active.
• Surveys for information in cases where the coding is complex or unusual.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Keeps abreast of and complies with coding guidelines and reimbursement reporting requirements.

Requirements

• Ability to research devices, categories, and HCPCS codes leading to the development of a library.
• Expertise in oral and written communications -ability to clarify and discuss coding issues with peers.
• Able to multi-task and prioritize tasks.
• Good written and verbal communication skills.
• Attention for detail and strong organizational skills.
• Medical terminology and coding.
• Able to use web based and computer applications and work with peers in team situations.
• Takes initiative in performing additional tasks.
• Able to use approved AI tools, including ChatGPT Projects and Custom GPTs, to support medical device coding research, HCPCS data analysis, content validation, audit review, and workflow efficiency.
• Skilled in developing structured prompts and reusable AI-assisted workflows to compare source data, identify inconsistencies, summarize research findings, and support coding-related decision making.
• Demonstrates responsible use of AI by validating all AI-generated outputs against credible sources, official coding guidance, internal standards, and professional judgment.
• Maintains compliance with data privacy, company security policies, ethical coding standards, and appropriate human oversight when using AI tools.

Qualifications

• Two years of coding experience in a healthcare setting.
• Previous experience in supply chain management or medical device industry preferred.
• Certified Professional Coder (CPC) certification.

Benefits

• Competitive salaries and extensive benefits – including medical, dental, vision, long term disability, life insurance, and matching 401k.
• Employee Assistance Program.
• Other company benefits.