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4243-Medical Coding Specialist

1 month ago
United States
Full-time
Mid Level
Operations Specialist
Operations
HIPAA
Apply Now
Innovaccer

Innovaccer

Innovaccer is a top data platform for value-based care, providing unified patient data solutions to revolutionize healthcare outcomes worldwide.

IT Services
1K-5K
Founded 2014
$379M raised
View All Jobs 21

Description

  • Independently review, analyze, and resolve assigned front-end claim holds before transmission.
  • Assign ICD-10-CM and CPT codes with appropriate modifiers for professional fee services.
  • Review medical records and supporting documentation to determine correct codes for diagnoses and documented services.
  • Ensure diagnosis codes meet local and national medical necessity guidelines.
  • Use internal coding resources, payer guidelines, and reference materials to produce accurate and compliant coding decisions.
  • Prevent claim rejections and support clean claim rates by working closely with revenue cycle partners.
  • Follow HIPAA regulations and maintain the highest standards of privacy and confidentiality.
  • Stay current on laws, regulations, payer policies, and industry guidance affecting compliant coding practices.
  • Participate in department meetings, one-on-one meetings, and mentorship sessions with the Coding Team Lead.
  • Escalate client trends and coding questions to the Coding Team Lead for guidance and clarification.

Requirements

  • Current AAPC or AHIMA certification held for a minimum of 3 years.
  • 3+ years of professional coding experience.
  • 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 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 for reports, documentation clarification, and collaboration with physicians and staff.
  • Prior experience in a medical billing environment with strict HIPAA compliance requirements.
  • Proficiency with Microsoft Office Suite, including Word, Excel, Outlook, and Teams.

Benefits

  • 20 days of fixed paid time off per year, plus company holidays.
  • Best-in-class parental leave policy.
  • Monetary incentives and company-wide recognition for performance and impact.
  • Medical, dental, and vision insurance.
  • 100% company-paid short- and long-term disability insurance.
  • 100% company-paid basic life insurance.
  • Optional discounted legal aid and pet insurance.

Interested in this position?

Apply directly on the company website

Apply Now

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