RCM Medical Coding Processor

Key Responsibilities

• Abstract coding of all (pro-fee) E/M visits and office-based services and procedures
• Daily QA evaluation of coded services to ensure accuracy of completed coding
• Provide targeted coding education and feedback
• Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
• Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
• Support coding education through feedback, targeted training, and reference materials
• Provide actionable recommendations to address coding findings and reduce coding errors
• Support denial prevention, resolution, and appeal strategies
• Collaborate across teams to assist with coding support

Required Qualifications

• AAPC credential required: CPC
• 2+ years of ProFee abstract medical coding
• Proficient knowledge of:
• E/M documentation guidelines
• Modifier rules and NCCI edits
• CPT, ICD-10-CM, HCPCS Level II
• High attention to detail with strong analytical and critical-thinking skills
• Excellent written and verbal communication skills for coding feedback and education
• Proficiency with EHRs, coding and auditing tools

Pay

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget.

Benefits

Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network.
Interested in learning more? Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Application Instructions

Visa Sponsorship is not offered for this position.