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Medical Coding Specialist - I

3 months, 3 weeks ago
United States
Full-time
Junior
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 15

Description

  • Independently review, analyze, and resolve assigned front-end claim holds prior to claim transmission.
  • Assign ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
  • Review medical records and supporting documentation to determine accurate codes for documented services and diagnoses.
  • Ensure diagnosis codes meet local and national medical necessity guidelines.
  • Use internal coding resources, payer guidelines, and reference materials to support compliant coding decisions.
  • Work with revenue cycle partners to reduce claim rejections and support clean claim rates.
  • Maintain HIPAA compliance and protect the privacy and confidentiality of patient information.
  • Stay current on laws, regulations, payer policies, and industry guidance affecting coding practices.
  • Participate in department, one-on-one, and mentorship meetings with the Coding Team Lead.
  • Escalate client trends and coding questions to the Coding Team Lead and complete continuing education requirements.

Requirements

  • Current AAPC or AHIMA certification held for at least 3 years.
  • 3+ years of professional coding experience.
  • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and Medicare reimbursement guidelines.
  • Familiarity with English grammar, usage, and professional documentation standards.
  • Ability to research, analyze data, 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 procedures.
  • Demonstrated independent judgment in coding and claim resolution.
  • Excellent written and verbal communication skills.
  • Prior experience in a medical billing environment with strict HIPAA compliance.
  • Proficiency with Microsoft Office Suite, including Word, Excel, Outlook, and Teams.

Benefits

  • Pay range of $24-$28 per hour for this full-time, non-exempt role.
  • Generous paid time off, including 20 days of fixed time off per year plus company holidays.
  • Best-in-class parental leave.
  • Monetary incentives and company-wide recognition through performance rewards.
  • Comprehensive medical, dental, and vision insurance.
  • 100% company-paid short- and long-term disability and basic life insurance.
  • Optional discounted legal aid and pet insurance.
  • Training and development, plus wellness resources.
  • Private health insurance, retirement plan/401k, work-from-home support, and free food & snacks listed among employee benefits.

Interested in this position?

Apply directly on the company website

Apply Now

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