Certified Medical Coder

Innovaccer; New Jersey; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

20 days paid time off

Best-in-class parental leave

Comprehensive insurance coverage

Job summary

Innovaccer in New Jersey is looking for a Medical Coder to ensure accurate coding and claims submission. The role involves reviewing documentation, correcting coding issues, and maintaining coding accuracy. Strong attention to detail and coding knowledge are essential.

As part of a fast-paced environment, the position requires a minimum of 3 years of experience and currently holds an AAPC or AHIMA certification. Innovaccer offers generous paid time off and comprehensive insurance coverage.

Qualifications

• Must hold a current AAPC or AHIMA Certification for a minimum of 3 years.
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy, and Medicare guidelines.
• Minimum of 3+ years of professional coding experience.

Responsibilities

• Review and resolve assigned front-end claims accurately.
• Ensure coding accuracy with a minimum of 90%.
• Maintain confidentiality and compliance with HIPAA regulations.

Skills

CPT & ICD-10-CM coding knowledge

Attention to detail

Communication skills

Critical thinking

Education

AAPC or AHIMA Certification

Tools

Microsoft Office Suite

Job description

The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.

A Day in the Lif

• Averages 10 front-end holds per hou
• Maintains a minimum of 90% coding accuracy
• Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment
• Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses
• Ensures all diagnosis codes meet local and national medical necessity guidelines
• Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services
• Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality
• Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices
• Independently reviews and resolves all assigned front-end claim holds
• Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead
• Escalates identified client trends to the assigned Coding Team Lead
• Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification
• Maintains and completes all CEU requirements
• Performs other duties or tasks as assigned

What You Ne

• Must hold a current AAPC or AHIMA Certification for a minimum of 3 year
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guideline
• Familiarity with proper English grammar, usage, and professional documentation standard
• Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issue
• Ability to read, interpret, and apply policies, procedures, laws, and regulation
• Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedure
• Demonstrated ability to exercise independent judgment in coding and claim resolutio
• Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staf
• Strong commitment to maintaining confidentiality and safeguarding protected health informatio
• Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirement
• Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams
• Minimum of 3+ years of professional coding experienc

We offer competitive benefits to set you up for success in and outside of wo

Here’s What We O

• fferGenerous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performa
• nce.Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important mome
• nts.Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoti
• ced.Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insura