Front-End Medical Coder: Claims & Compliance

Innovaccer Inc.; Northern (KY); Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

Paid time off

Parental leave

Recognition

Insurance coverage

Job summary

Innovaccer Inc. in the United States is seeking a Coding Specialist I to independently review and resolve front-end claims, ensuring accurate coding and timely submission.

You will assign ICD-10-CM and CPT codes, verify medical necessity, and work with revenue cycle partners to prevent rejections in a fast-paced environment. Strong attention to detail and HIPAA compliance are essential for success.

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 physiology, and state and federal Medicare reimbursement guidelines.
• Familiarity with proper English grammar, usage, and professional documentation standards.
• Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
• Demonstrated ability to exercise independent judgment in coding and claim resolution.

Responsibilities

• Review front-end claims and assign ICD-10-CM/CPT codes with appropriate modifiers for professional services.
• Ensure all diagnosis codes meet local and national medical necessity guidelines.
• Maintain at least 90% coding accuracy and independently resolve front-end claim holds.
• Review medical records and documentation to determine appropriate codes for documented services and diagnoses.
• Escalate coding questions to the Coding Team Lead and participate in department meetings.

Skills

3+ years professional coding

Education

AAPC/AHIMA Certification

Tools

Microsoft Office Suite

Job description

Innovaccer Inc. in the United States is seeking a Coding Specialist I to independently review and resolve front-end claims, ensuring accurate coding and timely submission.

You will assign ICD-10-CM and CPT codes, verify medical necessity, and work with revenue cycle partners to prevent rejections in a fast-paced environment. Strong attention to detail and HIPAA compliance are essential for success.