Medical Coder (Edit and Charge Review Focus)

Accountabilities:

• • Review and validate clinician-entered charge suggestions for obstetric and gynecological services, ensuring accurate assignment and sequencing of diagnoses and procedures.
  • Apply ICD-10-CM Official Coding Guidelines, CPT guidance, physician-at-teaching-hospital rules, and Evaluation and Management documentation requirements.
  • Analyze and resolve coding edits, charge-entry errors, and discrepancies identified during coding review.
  • Review CPT, HCPCS, and ICD-10 coding and make appropriate corrections based on clinical documentation and applicable coding requirements.
  • Support charge capture and revenue cycle management processes by ensuring coding accuracy and timely resolution of coding queues.
  • Interpret regulatory requirements, payer rules, and coding directives and apply them appropriately to coding decisions.
  • Report and analyze coding errors, trends, and findings and prepare related reports using Microsoft Excel and Word.
  • Maintain accurate records and handle confidential healthcare information in accordance with HIPAA and applicable privacy requirements.
  • Work effectively with coding, clinical, billing, and administrative stakeholders to resolve issues and support quality outcomes.
  • Manage a high volume of work while maintaining accuracy, productivity, and attention to detail.
  • Independently prioritize competing responsibilities, troubleshoot problems, and meet established deadlines.
  • Use relevant systems and tools, including eBridge, Putty, Lyra, Microsoft 365, and Excel.
  • Maintain professional, ethical, service-oriented conduct and support organizational values.
  • Perform additional responsibilities as assigned.

  Requirements:

  • Current AAPC coding certification is required.
  • Associate or Bachelor’s degree in a relevant field preferred, or an equivalent combination of education and relevant experience.
  • Strong knowledge of medical coding principles, including ICD-10-CM, CPT, HCPCS, and Evaluation and Management documentation requirements.
  • Experience with billing, insurance collections, insurance follow-up, charge entry, and/or revenue cycle management.
  • Demonstrated ability to analyze and resolve charge-entry and coding errors.
  • Strong understanding of clinical terminology, disease processes, and the ability to interpret clinical documentation accurately.
  • Knowledge of HIPAA requirements as they relate to the revenue cycle and handling confidential healthcare information.
  • Proficiency with Microsoft 365 applications, including moderate-to-advanced Excel skills and the ability to prepare reports.
  • Ability to work with coding, revenue cycle, and related software systems; experience with eBridge, Putty, and Lyra is beneficial.
  • Strong interpersonal and telephone communication skills, with the ability to interact effectively with physicians and internal personnel.
  • Excellent attention to detail, accuracy, organization, and follow-through.
  • Ability to work independently, exercise sound judgment, and solve problems with limited supervision.
  • Comfortable working in a high-volume environment while consistently producing accurate, quality work.
  • Strong multitasking and prioritization skills.
  • Dependable, responsible, collaborative, and team-oriented approach.
  • High ethical standards and the ability to work with highly confidential materials.
  • Commitment to professionalism, service excellence, and organizational values.
  • Remote work capability; candidates located on the East Coast or in the South Carolina Upstate area are strongly preferred.

  Benefits:

  • Hourly compensation: $21.00–$25.00 per hour, based on experience.
  • Eligibility for a monthly bonus program.
  • Full-time, nonexempt position with benefits eligibility.
  • Fully remote work arrangement.
  • Medical, dental, and vision insurance.
  • Health Savings Account with employer contribution or Flexible Spending Account options.
  • Paid time off and holidays.
  • Employer-paid basic life and AD&D insurance.
  • Employer-paid short- and long-term disability coverage.
  • Optional short-term disability buy-up plan.
  • 401(k) savings plan, including Roth option.
  • Legal plan and identity theft protection services.
  • Mental health support and resources.
  • Employee referral program with referral incentives.
  • Opportunity to work in a mission-driven healthcare environment supporting women's and newborns' health.
  • Collaborative culture focused on service, professionalism, innovation, and quality.