Certified Medical Coder

Upward Health Careers; Camden (NJ); Remote; USD 60,000 - 65,000; Full time

Job summary

An established industry player is seeking a Certified Medical Coder to join their innovative team. In this role, you'll analyze provider documentation to ensure accurate coding and compliance with guidelines. Your expertise in ICD-10 and CPT coding will be crucial as you collaborate with healthcare providers to resolve discrepancies and train staff. This position offers a chance to make a real impact in patient care while working in a supportive environment that values your contributions. If you're passionate about coding and want to advance your career in a dynamic setting, this opportunity is perfect for you.

Qualifications

• 2+ years of risk coding experience in primary care or behavioral health.
• Certification in Professional Coding (CPC) required; CRC preferred.

Responsibilities

• Analyze provider documentation for accurate coding.
• Collaborate with providers on coding corrections and audits.

Skills

ICD-10 Coding

CPT/HCPCS Coding

Risk Coding Experience

Professional Coding Certification (CPC)

Microsoft Office Proficiency

Interpersonal Skills

Communication Skills

Multitasking Ability

Education

High School Diploma or GED

Associate’s Degree

Job description

Company Overview :

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team, from doctors and nurses to Care Specialists, HR, Technology, and Business Services staff, is driven by a desire to improve patients' lives. We address a wide range of needs—from poorly controlled blood sugar to anxiety to medically tailored meals—because health requires care for the whole person. 98% of patients report being fully satisfied with Upward Health!

Job Title & Role Description :

The Certified Medical Coder analyzes provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding guidelines, reimbursement policies, and standards. Responsibilities include coding for complex cases, auditing, reporting, collaborating with providers on coding corrections, distributing audit reports, addressing provider questions, and training staff on coding processes. The role also involves resolving coding discrepancies, reviewing rejected claims, and other duties assigned by management to ensure accurate and timely submissions.

Skills Required :

• Minimum 2 years of risk coding experience, preferably in primary care or behavioral health
• Certification in Professional Coding (CPC) required; CRC preferred
• High school diploma or GED required; Associate’s degree preferred
• Proficiency in Microsoft Office, especially Excel
• Strong understanding of ICD-10, CPT, and HCPCS coding systems
• Ability to work independently remotely
• Strong interpersonal skills for relationship building with colleagues and auditors
• Excellent written and verbal communication skills
• Ability to multitask and prioritize in a fast-paced environment

Key Behaviors :

Attention to Detail :

• Ensures accuracy and thoroughness in coding and documentation

Collaboration :

• Works effectively with cross-functional teams, including providers and staff

Communication :

• Demonstrates clear, professional communication both written and verbal

Flexibility :

• Adapts quickly to changing priorities in a dynamic environment

Problem Solving :

• Proactively resolves discrepancies and claims issues

Accountability :

• Owns tasks, meets deadlines, maintains quality

Competencies :

Technical Expertise :

• Deep knowledge of ICD-10, CPT, HCPCS, and their application in telemedicine and home-based care

Compliance Knowledge :

• Familiarity with coding guidelines, reimbursement policies, and regulations

Training & Development :

• Ability to educate and lead training sessions for providers and staff

Time Management :

• Efficiently manages multiple priorities with precision

Customer Service Orientation :

• Maintains professionalism and high service standards when resolving issues

Upward Health is proud to be an equal opportunity employer, committed to diversity and inclusion. This job description outlines primary duties and is not exhaustive.

Compensation : $60,000 - $65,000 annually