Medical Coder Coordinator

Job Title: Medical Coder Coordinator Location: Remote (100%) Duration: 6-Month Contract to Hire Schedule: Monday – Friday 9:00 AM – 5:30 PM EST Pay Rate: $21.42/Hour Position Overview: We are seeking a detail-oriented and highly motivated Medical Coder Coordinator to join our team in a fully remote capacity.

This role focuses on retrospective payment reimbursement reviews and requires strong inpatient coding experience, extensive CPT coding knowledge, modifier expertise, and the ability to interpret complex reimbursement documentation.

The ideal candidate will thrive in a fast-paced, deadline-driven environment while maintaining exceptional accuracy and compliance standards.

Key Responsibilities: Perform retrospective payment reimbursement reviews and coding audits.

Review and interpret Explanations of Benefits (EOBs), including: Recoupments Corrections Claim adjustments Apply CPT, ICD-10-CM, and HCPCS coding guidelines accurately.

Analyze CPT modifiers and evaluate their impact on reimbursement.

Conduct coding reviews across multiple provider specialties.

Prepare clear, professional, and compliant final payment determination letters.

Ensure coding accuracy and compliance with payer and regulatory requirements.

Support dispute resolution processes related to reimbursement reviews.

Manage multiple priorities while meeting strict deadlines.

Required Qualifications: 3–5 years of medical coding experience preferred.

Strong inpatient coding experience required.

Hands-on experience with: CPT codes CPT modifiers Retrospective coding reviews Experience with the IDR/IDRE process is required and candidates must be able to explain the process during interviews.

Strong understanding of reimbursement methodologies and claim adjudication.

Ability to read and analyze EOBs effectively.

Excellent written communication and documentation skills.

High attention to detail and accuracy.

Certifications Required One of the following certifications is required: CPC (Certified Professional Coder) – AAPC CCS (Certified Coding Specialist) – AHIMA Equivalent coding certification from AAPC or AHIMA Preferred Qualifications: Knowledge of the No Surprises Act and related billing regulations.

Associate degree from an accredited college or university preferred.

Education Requirements: High School Diploma or GED required.

Associate Degree preferred.