Medical Coder (Edit and Charge Review Focus)

Accountabilities: Review and validate clinician-entered charge suggestions for obstetric and gynecological services, ensuring accurate assignment and sequencing of diagnoses and procedures.

Apply ICD-10-CM Official Coding Guidelines, CPT guidance, physician-at-teaching-hospital rules, and Evaluation and Management documentation requirements.

Analyze and resolve coding edits, charge-entry errors, and discrepancies identified during coding review.

Review CPT, HCPCS, and ICD-10 coding and make appropriate corrections based on clinical documentation and applicable coding requirements.

Support charge capture and revenue cycle management processes by ensuring coding accuracy and timely resolution of coding queues.

Interpret regulatory requirements, payer rules, and coding directives and apply them appropriately to coding decisions.

Report and analyze coding errors, trends, and findings and prepare related reports using Microsoft Excel and Word.

Maintain accurate records and handle confidential healthcare information in accordance with HIPAA and applicable privacy requirements.

Work effectively with coding, clinical, billing, and administrative stakeholders to resolve issues and support quality outcomes.

Manage a high volume of work while maintaining accuracy, productivity, and attention to detail.

Independently prioritize competing responsibilities, troubleshoot problems, and meet established deadlines.

Use relevant systems and tools, including eBridge, Putty, Lyra, Microsoft 365, and Excel.

Maintain professional, ethical, service-oriented conduct and support organizational values.

Perform additional responsibilities as assigned.

Requirements:

Current AAPC coding certification is required.

Associate or Bachelor’s degree in a relevant field preferred, or an equivalent combination of education and relevant experience.

Strong knowledge of medical coding principles, including ICD-10-CM, CPT, HCPCS, and Evaluation and Management documentation requirements.

Experience with billing, insurance collections, insurance follow-up, charge entry, and/or revenue cycle management.

Demonstrated ability to analyze and resolve charge-entry and coding errors.

Strong understanding of clinical terminology, disease processes, and the ability to interpret clinical documentation accurately.

Knowledge of HIPAA requirements as they relate to the revenue cycle and handling confidential healthcare information.

Proficiency with Microsoft 365 applications, including moderate-to-advanced Excel skills and the ability to prepare reports.

Ability to work with coding, revenue cycle, and related software systems; experience with eBridge, Putty, and Lyra is beneficial.

Strong interpersonal and telephone communication skills, with the ability to interact effectively with physicians and internal personnel.

Excellent attention to detail, accuracy, organization, and follow-through.

Ability to work independently, exercise sound judgment, and solve problems with limited supervision.

Comfortable working in a high-volume environment while consistently producing accurate, quality work.

Strong multitasking and prioritization skills.

Dependable, responsible, collaborative, and team-oriented approach.

High ethical standards and the ability to work with highly confidential materials.

Commitment to professionalism, service excellence, and organizational values.

Remote work capability; candidates located on the East Coast or in the South Carolina Upstate area are strongly preferred.

Benefits:

Hourly compensation: $21.00–$25.00 per hour, based on experience.

Eligibility for a monthly bonus program.

Full-time, nonexempt position with benefits eligibility.

Fully remote work arrangement.

Medical, dental, and vision insurance.

Health Savings Account with employer contribution or Flexible Spending Account options.

Paid time off and holidays.

Employer-paid basic life and AD&D insurance.

Employer-paid short- and long-term disability coverage.

Optional short-term disability buy-up plan.

401(k) savings plan, including Roth option.

Legal plan and identity theft protection services.

Mental health support and resources.

Employee referral program with referral incentives.

Opportunity to work in a mission-driven healthcare environment supporting women's and newborns' health.

Collaborative culture focused on service, professionalism, innovation, and quality.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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