Certified Coder - Vytal Health Partners (VHP)

Vytalize Health; United States; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive base compensation

Health benefits

Job summary

Vytal Health Partners is seeking a Certified Medical Coder to ensure accurate ICD-10-CM, CPT, and HCPCS coding for reimbursement and compliance. You will review medical records, support denial management, and collaborate with billing and operations to improve outcomes.

Ideal candidates have 2+ years in medical record coding and familiarity with payer policies, EPIC EMR, and coding encoder software, with strong attention to detail and communication skills.

Qualifications

• Two years of experience in medical record coding and denial management.

Responsibilities

• Review medical record documentation and claim information to assign ICD-10-CM, CPT, and HCPCS codes for accurate reimbursement and compliance.
• Analyze coding-related claim denials and payer audit findings to identify root causes and implement corrective actions.
• Research payer policies and coding guidelines to support denial appeals and claim corrections.
• Collaborate with billing and operations to resolve coding issues and reduce denials.
• Monitor denial trends and prepare reports for leadership to drive process improvements.
• Stay current on changes to coding regulations and reimbursement methodologies.

Skills

ICD-10-CM, CPT, HCPCS guidelines

Medical terminology

Payer policy knowledge

Analytical thinking

Regulatory compliance

Communication skills

Attention to detail

HIPAA compliance

Education

AAPC CPC certification

AHIMA CCS certification

AHIMA RHIT certification

Tools

Coding encoder software

EPIC EMR

Microsoft Office

Job description

As a Certified Medical Coder at Vytal Health Partners, you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes. You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards. In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence. This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations.

What You Will Do

• Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and compliance with regulatory requirements.
• Review and analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes.
• Research payer policies, coding guidelines, and medical record documentation to support denial appeals, claim corrections, and reconsideration requests when appropriate.
• Collaborate with billing and operational teams to resolve coding-related claim issues, reduce recurring denials, and improve first-pass claim acceptance rates.
• Monitor coding, billing, and denial trends; prepare reports and collaborate with leadership and operational teams to implement process improvements, coding edits, and workflow enhancements that support compliance and reimbursement optimization.
• Stay current on changes to coding regulations, reimbursement methodologies, payer policies, and industry best practices through ongoing education and professional development.

Experience & Qualifications

• Two years of experience in medical record coding and denial management.

Skills & Competencies

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements.
• Proficiency with coding encoder software, electronic medical record (EMR) systems (EPIC experience preferred but not required), Microsoft Office applications, and other healthcare technology platforms.
• Knowledge of Medicare, Medicaid, and commercial payer policies, including documentation, coding, reimbursement, and compliance requirements.
• Strong analytical and problem-solving skills with the ability to research coding regulations, interpret payer policies, identify root causes of denials, and develop effective solutions.
• Ability to review, interpret, and apply complex medical documentation, coding guidelines, policies, procedures, laws, and regulations.
• Experience reviewing and resolving coding-related denials, underpayments, and payer audit findings preferred.
• Ability to exercise sound independent judgment while maintaining a high degree of accuracy, attention to detail, and professionalism.
• Excellent written and verbal communication skills.
• Strong interpersonal skills with the ability to build collaborative working relationships with providers, operational leaders, and revenue cycle teams.
• Demonstrated commitment to confidentiality, ethical conduct, and compliance with HIPAA and organizational policies.

Certifications & Licenses

• Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC)
• Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA)
• Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA)

Perks & Benefits

• Competitive base compensation
• Health benefits