Medical Bill Coder
Description:
Position Summary
We are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk.
Key Responsibilities
Review incoming medical bills for completeness and accuracy.
Assign proper CPT, ICD-10, and HCPCS codes based on medical records and documentation.
Ensure coding aligns with state regulations, payer-specific rules, and company policies.
Identify and correct coding discrepancies, unbundled codes, or documentation gaps.
Collaborate with billing, claims, and compliance teams to resolve coding-related issues.
Stay updated with coding changes, fee schedules, and relevant state legislation.
Support audits and internal reviews as needed.
Qualifications
Certification: CPC, CCS, or equivalent required.
Minimum 3-5 years of experience in medical coding, preferably in a workers’ compensation or physical medicine environment.
Strong understanding of state-specific billing guidelines and medical coding compliance.
Proficiency with EHR systems and coding software (e.g., EncoderPro, Availity).
High attention to detail, strong analytical skills, and ability to meet deadlines.
Preferred Skills
Experience working with workers’ compensation clams.
Familiarity with NCCI edits and payer-specific rules.
If you are interested, please share your resume at