Certified Medical Coder

DaMar Staffing; Buffalo (NY); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Hybrid work option

Job summary

Medical Health Associates (MHA) seeks an experienced Certified Medical Coder to support a network of outpatient pediatric physician offices.

You will review clinical documentation, assign ICD-10-CM, CPT and HCPCS codes, ensure payer guidelines are followed, and help optimize reimbursement while maintaining HIPAA privacy. Hybrid work is available after the introductory period, with a focus on accuracy and regulatory compliance.

Qualifications

• Must hold CPC or CCS-P or equivalent certification.
• Minimum 2 years medical coding in a physician office.
• Pediatric coding experience preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS and payer guidelines.
• Experience with EMR systems.
• Strong attention to detail, analytical and organizational skills.
• Excellent written and verbal communication.

Responsibilities

• Review provider documentation and assign ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services.
• Ensure coding complies with payer guidelines, federal regulations, and organizational policies.
• Identify and resolve coding discrepancies with providers and clinical staff.
• Review claims for coding accuracy prior to submission.
• Assist with denial management and coding-related appeals.
• Stay current with coding updates, payer requirements, and regulatory changes.
• Maintain HIPAA confidentiality and compliance.

Skills

Attention to detail

Analytical skills

Organizational skills

Communication skills

Education

CPC/CCS-P certification

Tools

EMR systems

Job description

Certified Medical Coder

Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity.

Essential Responsibilities

• Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services.
• Ensure coding complies with payer guidelines, federal regulations, and organizational policies.
• Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff.
• Review claims for coding accuracy prior to submission.
• Assist with denial management and coding-related appeals as needed.
• Stay current with coding updates, payer requirements, and regulatory changes.
• Maintain strict patient confidentiality and HIPAA compliance.

Options for hybrid work upon the completion of the introductory period.

Requirements

• Current coding certification required (CPC, CCS-P, or equivalent).
• Minimum of two (2) years of medical coding experience in a physician office or medical practice required.
• Pediatric coding experience preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines.
• Experience using electronic medical record (EMR) systems.
• Strong attention to detail, analytical skills, and organizational abilities.
• Excellent written and verbal communication skills.