Multi-Specialty Profee and/or Facility Medical Coder

Sutherland
Atlanta
Workplace: RemoteFull timeFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2+ yearsSkills: ["Communication","Analytical skills","Research skills","Attention to detail"]

Analyze and interpret complex inpatient and outpatient records to accurately assign and sequence ICD-10 and CPT/HCPCS codes for compliant billing. Work with third-party payer requirements, seek clarification for conflicting or non-specific documentation, and support claims improvement by reviewing coding-related denials and recommending resolutions based on payer guidelines.

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Sutherland
Sutherland
1 month ago

Multi-Specialty Profee and/or Facility Medical Coder

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 1 hour agoStatus: Live
Reposted: similar role first listed 7 months ago

Job Summary

Analyze and interpret complex inpatient and outpatient records to accurately assign and sequence ICD-10 and CPT/HCPCS codes for compliant billing. Work with third-party payer requirements, seek clarification for conflicting or non-specific documentation, and support claims improvement by reviewing coding-related denials and recommending resolutions based on payer guidelines.
Location: Atlanta
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Entry level

Key Responsibilities

  • •Analyze and interpret complex records to identify appropriate billing codes.
  • •Accurately code and bill services using ICD-10 and CPT/HCPCS.
  • •Assign and sequence billing codes in compliance with third-party payer requirements.
  • •Obtain clarification when documentation is conflicting or non-specific.
  • •Review coding-related denials and recommend claim resolutions based on payer guidelines.

Key Requirements

  • •At least 2+ years of inpatient and outpatient professional medical coding experience, including coding for multi-specialty practices.
  • •At least 2+ years of relevant facility coding experience in Clinics and Lab/Radiology (mandatory), plus ED/OBS/SDS and/or Inpatient (strong preference for injection/infusion experience).
  • •CPC, CCS, or CCS-P certification required.
  • •Effective communication, analytical and research skills with a keen attention to detail.
Experience:2+ yearsHealthcare
Skills:CommunicationAnalytical skillsResearch skillsAttention to detail
Certifications:CPCCCSCCS-P
Languages:English

Company Brief

Sutherland
Global digital transformation and business process services firm offering AI, automation, cloud engineering, analytics and customer experience solutions to enterprises across industries.
Industry: Professional Services
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Funding: Private Equity Backed
Headquarters: Pittsford (Rochester), NY, United States
Founded: 1986
Glassdoor
Glassdoor: 3.5
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