Medical coder

Job Description

Job Summary:

We are seeking a highly meticulous and experienced Remote Medical Coder to join our dynamic healthcare team. The ideal candidate will possess a strong understanding of either US (ICD-10-CM, CPT, HCPCS) or UK (ICD-10, OPCS-4, SNOMED CT) coding standards within a hospital setting to ensure complex patient records are reviewed, assigned through accurate diagnostic and procedural codes, and ensuring compliance with regulatory requirements to facilitate accurate reimbursement.

Job Responsibilities

Clinical Coding: Review and analyze patient medical records, including operative reports, discharge summaries, and outpatient notes to assign appropriate ICD-10/CPT/OPCS-4 codes.

Accuracy & Compliance: Ensure all coding complies with federal, state, and NHS/Insurance payer-specific guidelines to ensure accurate revenue cycle management.

Documentation Review: Identify discrepancies or missing information in clinical documentation and query physicians or clinical staff for clarification.

Reimbursement Optimization: Correct coding errors and resolve claim denials to prevent revenue loss.

Data Integrity: Maintain high accuracy in coding, adhering to quality standards and participating in audits.

Stay Updated: Maintain up-to-date knowledge of coding guideline changes and compliance regulations.

Required Qualifications

Minimum of 3-5 years of hospital medical coding experience (Inpatient or Outpatient) in the US or UK.

Candidate must have active certification from AAPC or AHIMA (e.g., CPC, CCS, CIC, COC) for US, or recognized UK equivalent.

Knowledge of strong command of medical terminology, anatomy, physiology, and pharmacology.

Great Experience with Electronic Health Record (EHR) systems (e.g., Epic, Cerner, EMIS Web, SystmOne).

Excellent attention to detail and ability to identify patterns.

Candidates must possess a modern, functioning computer (Windows 10/11 or macOS 12+) capable of handling secure remote desktop applications.

Must have stable, high-speed, and reliable internet connection (fiber/cable preferred).

Backup Supply: Mandatory, verifiable strong backup power supply (UPS or Generator/Inverter) to ensure continuous operation during power outages.

Working environment must be quiet, and secure, HIPAA/GDPR-compliant workspace to ensure patient confidentiality