A company is looking for a Certified Medical Coder to lead coding strategy and execution for expanding billable services.
Key Responsibilities
Perform complex coding for CPT, HCPCS, and ICD-10, ensuring accuracy and compliance
Lead analysis of coding-related denials and provide expert guidance on appeals strategy
Collaborate with clinical teams and RCM leadership on billing strategy and optimization initiatives
Required Qualifications
Active coding certification (CPC, CCS, or equivalent)
5+ years of medical coding experience, particularly with Medicaid and MCO billing
Deep expertise in CPT, ICD-10, and HCPCS coding systems
Advanced knowledge of modifier usage, including state-specific Medicaid and MCO requirements
Strong experience with E / M coding and Medical Decision Making (MDM)
Certified Medical Coder • Springfield, Massachusetts, United States
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