Certified Coder/Medical Biller- Fully Remote, Work from Home

Paycom - ATS; Peoria (AZ); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Fully remote work

PTO

Paid holidays

Sick leave

Personal emergency leave

Medical insurance

Dental insurance

Vision insurance

401(k)

Certification and CE reimbursement

Professional growth opportunities

Job summary

ReveLution, LLC in the healthcare sector seeks a Medical Coder to review clinical documentation and assign CPT, HCPCS, and ICD-10-CM codes for oncology services. This role emphasizes coding quality, documentation, and timely submission of coded charges.

You will collaborate with providers and the billing team, ensure compliance with payer requirements, and support phone coverage for billing questions, while maintaining strong coding notes and meeting quality targets in a remote setting.

Qualifications

• Current professional coding certification CPC/CCS or equivalent.
• At least two years of hands-on medical coding experience, preferably oncology.
• Experience applying Medicare, Medicaid or AHCCCS, and commercial payer coding requirements.

Responsibilities

• Review physician and clinical documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.
• Apply current coding guidelines, payer requirements, and specialty rules to supported services.
• Identify missing or unclear documentation and obtain clarification before coding.
• Enter or validate coded charges and prepare accurately coded claims for submission.
• Review and correct coding-related claim edits or rejections; escalate noncoding issues as needed.
• Maintain clear coding notes and meet quality/ turnaround targets across client workflows.

Skills

CPT/HCPCS/ICD-10-CM

Modifiers

Medical terminology

Education

Medical Coding Certification (CPC/CCS)

Job description

About UsReveLution, LLC is a healthcare consulting and revenue cycle management company specializing in oncology and related services. We support physician practices with coding, billing, accounts receivable management, prior authorizations, and other revenue cycle services.Position OverviewThe Medical Coder reviews clinical documentation and assigns accurate diagnosis and procedure codes for services provided by our clients. This position focuses on coding quality, documentation, and timely preparation of coded charges or claims. The coder works with providers and the billing team to resolve coding questions and coding related edits. This position will also be responsible for providing phone coverage for billing questions from patients.Key Responsibilities• Review physician and clinical documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes, including applicable modifiers.• Apply current coding guidelines, payer requirements, and specialty specific rules to supported services.• Identify missing or unclear documentation and communicate with providers or clinical teams to obtain clarification before coding.• Enter or validate coded charges and prepare accurately coded claims for timely submission in the practice management system.• Review and correct coding related claim edits or electronic rejections; refer noncoding billing or payment issues to the appropriate team.• Identify coding patterns, documentation gaps, and potential compliance concerns; share findings with providers and internal teams.• Maintain clear coding notes and meet established quality and turnaround expectations across assigned client workflows.• Collaborate with billing and operational teams on coding questions, phone coverage, process improvements, and updates to coding guidance.Benefits• Fully remote work• Paid time off, paid holidays, sick leave, and personal emergency leave• Medical, dental, and vision insurance; 401(k)• Certification and continuing education reimbursement opportunities• Professional growth opportunitiesQualifications• Current professional coding certification required, such as CPC, CPC-A, CCS, or an applicable specialty coding credential.• At least two years of hands-on medical coding experience preferred; relevant specialty experience may be considered.• Oncology coding experience, particularly radiation oncology, radiology, or surgical services, strongly preferred.• Experience applying Medicare, Medicaid or AHCCCS, and commercial payer coding requirements preferred.Skills and Abilities• Strong knowledge of CPT, HCPCS, ICD-10-CM, coding modifiers, and medical terminology.• Ability to review complex documentation accurately and explain coding questions clearly to providers and teammates.• Comfort using electronic health records, practice management systems, payer resources, and Microsoft applications.• Strong organization, attention to detail, independent problem solving, and ability to manage deadlines in a remote setting.• Clear, professional written and verbal communication and willingness to adapt to changing client workflows.