Medical Coder

Medical Coder

Remote

Pay Rate: $21.00/hour Work Location: Telecommuter — Optum FL950 (Remote) Work Hours: Full-time (40 hours/week), Monday–Friday, normal business hours. Overtime may be required based on business need. Interview Format: Video/Phone Interviews Required

About the Role

We are hiring a Certified Medical Coder responsible for the accurate coding of professional services — diagnoses, procedures, and modifiers — from medical records across multiple care settings, including clinic, outpatient, and inpatient facilities. Experience with the CMS HCC Risk Adjustment Model and Medical Record Review/Provider Documentation Validation is preferred.

What You'll Do

• Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
• Follow up with providers as necessary when responses to queries are not provided in a timely basis
• Utilize medical coding software programs or reference materials to identify appropriate codes
• Apply post-query response to make final determinations
• Apply relevant medical coding reference, federal, state, and professional guidelines to assign and record independent medical code determinations
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
• Resolve medical coding edits or denials in relation to code assignment
• Provide information or respond to questions from medical coding quality audits
• Educate and mentor others to improve medical coding quality
• Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
• Other duties as assigned

Required Qualifications

• High School Diploma/GED (or higher)
• 3+ years of coding experience, preferably in Medicare Advantage, Risk Adjustment/HCC Coding
• Coding certification from AAPC or AHIMA (e.g., CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P)
• Advanced knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
• Advanced knowledge of medical terminology, disease processes, and anatomy and physiology
• Task-oriented with the ability to meet designated deadlines and productivity standards

Recommended

• Experience with eClinicalWorks Practice Management System (e

Allmed is a National Staffing and Recruiting company offering short and long term staffing solutions.
We have been serving large Fortune 100 companies and providing career opportunities to job seekers for over 25 years. We specialize within the medical and healthcare industries offering temporary and permanent placement options. Our team takes the time to recognize, assess and listen to the goals of both our clients and employees. Our team is dedicated to providing the highest quality services and best qualified medical professionals throughout the United States. We stand by our promise and guarantee success and satisfaction between our clients and employees.