Review and abstract professional medical records, including provider notes, encounters, and supporting documentation.
Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines.
Validate that all codes are supported by provider documentation; query providers for clarification when necessary.
Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership.
Participate in internal and external coding audits; provide feedback to improve documentation and coding processes.
Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines.
Maintain confidentiality and adhere to all HIPAA and compliance standards.

Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification.
Experience: Minimum 3 years of Pro-Fee coding experience.
Strong understanding of HCC / risk adjustment coding principles.
Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.
Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.
Ability to work independently and maintain productivity in a remote setting.
Strong communication and problem-solving skills.
Proficient in EHR systems, encoder/coding software, and Google tools.
Reliable internet connection and dedicated, secure workspace.

Medical Coder – Contract

Key skills