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.