Medical Coder

Healthcare coding quality and reimbursement specialist role supporting coding accuracy, reimbursement integrity, and documentation quality across a multi-state environment.

The position focuses on coding review, payer updates, audit support, documentation feedback, and process improvement. The ideal candidate will bring strong Medicare and Medicaid knowledge, collaborate effectively with internal teams, and translate complex coding requirements into practical operational and clinical guidance.

Key responsibilities include:

• Review, assign, and validate CPT, HCPCS, and ICD-10 codes with precision.
• Analyze new and revised codes from Medicare and state Medicaid programs and guide implementation.
• Conduct audits, identify risks, and ensure compliance with payer guidelines.
• Educate providers and staff on documentation and coding best practices.
• Research coding questions and provide practical recommendations based on current guidance.
• Collaborate with multiple teams and departments to support coding excellence.
• Serve as an experienced resource for complex and payer-specific coding questions.