Medical Coder reviewing patient records and assigning accurate ICD-10-CM, CPT, and HCPCS codes. Supporting compliant claims, reimbursement accuracy, and revenue-cycle performance for EverCommerce.
Responsibilities
Review patient medical records, provider documentation, and encounter forms
Assign accurate ICD-10-CM, CPT, and HCPCS Level II diagnosis and procedure codes
Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements
Audit medical records for completeness, accuracy, and documentation deficiencies
Communicate with providers about coding clarifications and documentation improvement
Identify and resolve coding-related claim denials and rejections
Maintain organizational productivity and quality standards
Stay current with coding updates, payer policies, and industry regulations
Assist with internal coding audits and compliance reviews
Collaborate with billing, collections, and revenue cycle teams to optimize reimbursement
Participate in ongoing coding and compliance education and training
Maintain patient-information confidentiality in accordance with HIPAA regulations
Requirements
High school diploma or equivalent required
Current medical coding certification required
Completion of an accredited medical coding program preferred
Minimum of 1-2 years of coding experience preferred
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
Understanding of medical terminology, anatomy, physiology, and healthcare reimbursement methodologies
Knowledge of payer guidelines, claim processing, and revenue cycle management
Proficiency in Electronic Health Records (EHR) and practice management systems
Strong analytical, problem-solving, and attention-to-detail skills
Associate's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field preferred
Experience coding specialty services such as family practice, urgent care, behavioral health, orthopedics, cardiology, or surgical specialties preferred
Prior experience with coding audits and denial management preferred
Ability to work independently in an office or remote environment
Must be eligible to work without sponsorship in the United States or Canada
Must maintain confidentiality of patient information under HIPAA regulations
Benefits
Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid
Robust health and wellness benefits, including an annual wellness stipend
401k with up to a 4% match and immediate vesting
Flexible and generous (FTO) time-off
Employee Stock Purchase Program
Minimal to no travel required; travel up to 4 times per year for quarterly planning may be requested
Remote work setup or in-office/hybrid options near company offices
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