Telehealth Medical Coder – CRC Required - Remote

About the Role

The Medical Coder is responsible for accurate and compliant coding of telehealth encounters, with a primary focus on Medicare Annual Wellness Visits (AWVs) and HEDIS gap-closure services. This role ensures proper assignment of ICD-10, CPT, and HCPCS codes, supports quality-measure capture, and maintains compliance with CMS, HEDIS, and payer-specific requirements.

What You'll Do

• Develop and implement a compliant coding program in collaboration with CTH leadership to support accurate billing practices, audit readiness, and regulatory compliance.
• Assign appropriate ICD-10-CM diagnosis codes based on provider documentation.
• Code CPT/HCPCS services for: Initial AWV (G0438) and Subsequent AWV (G0439).
• Ensure telehealth modifiers and place-of-service codes are correct.
• Validate coding for HEDIS measures including CBP, EED, SPC, SUPD, OMW, BCS, GSD, KED, and COL.
• Confirm diagnosis and procedure codes support measure closure.
• Flag incomplete or non-compliant documentation.
• Review charts for missing ICD-10 codes, incomplete AWV elements, and unsupported diagnoses.
• Provide feedback to providers and nursing staff on documentation deficiencies.
• Ensure adherence to CMS, HEDIS, and telehealth coding guidelines.
• Participate in internal coding audits and quality reviews.
• Serve as a coding resource for providers, nurses, and quality teams.
• Assist with coding education and documentation improvement.

Key Performance Indicators (KPIs)

• Coding accuracy rate ≥95%
• Charts coded within 24–48 hours
• Denial rate related to coding errors
• HEDIS gap closure supported by accurate coding

Required Qualifications

• CRC Certification
• Minimum 2 years outpatient or telehealth coding experience
• Experience with Medicare AWV and HEDIS measures
• Familiarity with telehealth billing rules

Preferred Qualifications

• Medicare Advantage or risk-adjustment experience
• Experience in a virtual or high-volume clinic
• Knowledge of CCM, RTM, or APCM programs

Core Competencies

• Strong CMS and HEDIS coding knowledge
• Attention to detail and compliance
• Independent remote work capability
• Strong communication with clinical teams

Schedule

Monday-Friday 9-5:30pm EST

Technical Requirements

• Computer: Windows or Apple Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones). Must have at least Windows 10 or MacOS 13.
• Headphones: Wired headphones required for optimal audio quality.
• Internet Speed: Meet minimum internet speed requirements (50 MBPS download speed and 20 MBPS upload speed), with a wired connection to the router. Must have an ethernet cable connecting computer directly into router.
• Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type).
• Video Capability Required: Required for video calls (webcam). Laptops will come with a built-in webcam which is fine. If it doesn't you'll need to get one.
• Recommended Equipment: A second monitor is suggested for laptop users; dual monitors for PC users.

Why CareTalk Health

CareTalk Health is a fast-growing telehealth organization that delivers high-quality virtual care at scale. This role offers the opportunity to shape contractor operations, influence performance outcomes, and support innovative care models across a nationwide clinical workforce.