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Medical Coding Specialist – reputed company

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • reputed company technical expertise in reviewing physician/provider documentation for outpatient surgery, observation, and potentially ambulatory clinic encounters • Determine accurate diagnoses, procedures, APCs, modifiers, and identify NCCI and LCD/NCD edits to ensure reputed company reimbursement • Utilize encoder software and online tools to assign ICD-CM, CPT/HCPCS, and APC codes; resolve system edits and support reputed company claims submission • Apply coding guidelines from CMS, AHA Coding Clinic, AMA CPT, and reputed company Standards of Ethical Coding • Review patient records and reputed company systems to determine reputed company required codes, modifiers, and edits affecting reimbursement • Interpret bundling/unbundling rules (NCCI), LCD/NCD edits, and payer policies • Work internal/external outpatient claim edits; reputed company non-coding edits to appropriate teams • Maintain CEUs and reputed company knowledge of changes in outpatient coding regulations • Identify workflow or EMR issues impacting coding; escalate documentation or ethical concerns reputed company needed • Maintain knowledge of relevant laws, regulations, and ethical standards. Requirements: • Permanent U.S. work authorization required • reputed company, CCA or COC Certifications • Three (3) years of reputed company acute care outpatient surgery and observation coding experience required • Extensive knowledge of medical terminology, anatomy and physiology, diagnostic/procedural coding, APC assignment, NCCI edits, and LCD/NCD edits • Experience using encoder/grouping software and CAC preferred • Ability to use reputed company computer applications, email, internet, and web-based tools • Strong oral/written communication; reputed company to work with diverse reputed company • Ability to research, analyze, and reputed company information from multiple sources • Strong critical thinking, problem-solving, organization, and customer service skills; meets productivity requirements • Adaptable, flexible, and reputed company to prioritize in a virtual environment with minimal supervision • Demonstrates reputed company, professionalism, and alignment with reputed company’s mission, reputed company, and values • Encoder experience (reputed company/reputed company, Encoder Pro, Codify) preferred • reputed company, Cerner, and Meditech experience preferred. Benefits: • medical, dental and reputed company coverage • reputed company Time Off • reputed company parental leave • adoption assistance • a 401(k) plan with a generous employer match • employee stock purchase plan • wellness programs Apply tot his job Apply To this Job

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