4529- Coding Specialist

Innovaccer
United States
Workplace: RemoteFull timeFunction: Revenue Operations (RevOps)Experience: 3+ yearsEducation: certificationSkills: ["Attention to detail","Independent judgment","Written and verbal communication","Confidentiality","Analytical thinking"]

Independently review, analyze, and resolve front-end claim holds to ensure accurate, timely professional fee submissions. Assign appropriate ICD-10-CM and CPT codes with modifiers, verify documentation and medical necessity guidelines, and apply payer requirements and organizational coding policies. Partner with revenue cycle teams to reduce rejections and support clean claim rates, maintain HIPAA compliance, complete CEU requirements, and escalate trends and coding questions for guidance.

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FursaFursa
Innovaccer
Innovaccer
6 days ago

4529- Coding Specialist

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Source: Company careers pageValidated by: Fursa AI
Last checked: 1 day agoStatus: Live

Job Summary

Independently review, analyze, and resolve front-end claim holds to ensure accurate, timely professional fee submissions. Assign appropriate ICD-10-CM and CPT codes with modifiers, verify documentation and medical necessity guidelines, and apply payer requirements and organizational coding policies. Partner with revenue cycle teams to reduce rejections and support clean claim rates, maintain HIPAA compliance, complete CEU requirements, and escalate trends and coding questions for guidance.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Revenue Operations (RevOps)
Seniority: Mid level

Key Responsibilities

  • •Independently review, analyze, and resolve assigned front-end claim holds to ensure accurate and timely submissions.
  • •Assign ICD-10-CM and CPT codes with appropriate modifiers for services and diagnoses in professional fee environments.
  • •Review medical records and documentation to determine appropriate codes and verify medical necessity guideline compliance.
  • •Use coding resources and payer guidelines to ensure accurate and compliant coding for all assigned services.
  • •Escalate coding-related questions and client trends to the assigned Coding Team Lead and complete CEU requirements.

Pay and Benefits

Perks:Paid LeaveHealth InsuranceDentalVisionParental LeavePet Insurance

Key Requirements

  • •Must hold a current AAPC or AHIMA certification for a minimum of 3 years.
  • •3+ years of professional coding experience with strong knowledge of CPT and ICD-10-CM.
  • •Strong understanding of medical terminology, anatomy and physiology, and state/federal Medicare reimbursement guidelines.
  • •Ability to research and analyze coding and documentation issues and apply policies, procedures, laws, and regulations.
  • •Proficiency with medical documentation review and compliance with HIPAA confidentiality requirements.
Experience:3+ yearsMedical billingHealthcare
Education:Certification / Diploma
Skills:Attention to detailIndependent judgmentWritten and verbal communicationConfidentialityAnalytical thinking
Certifications:AAPCAHIMA
Tech Stack:CPTICD-10-CMHIPAAMicrosoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft Teams

Company Brief

Innovaccer
Provides a healthcare data activation platform that unifies clinical, claims, and operational data to enable analytics, care management, population health, and value-based care initiatives for providers, payers, and life sciences organizations.
Industry: HealthTech
Company Size: Enterprise (1,001+ employees)
Growth: Scaleup
Valuation: Unicorn (USD 1B+)
Funding: Series D
Headquarters: San Francisco, United States
Founded: 2014
WebsiteLinkedIn