Medical Coder I: ICD-10 & CPT Specialist

Yale New Haven Health; New Haven (CT); On-site; USD 60,000 - 80,000; Full time

Job summary

Yale New Haven Health is seeking a Professional Coder I to conduct comprehensive reviews of medical record documentation and perform coding tasks across multiple specialties. Duties include charge review, coding validation, denial research, and clinician communication to ensure accurate CPT and ICD-10-CM coding.

The role requires at least 2 years of professional coding experience, a CPC or CCS-P credential (AAPC) or equivalent, and strong written and verbal communication abilities.

Qualifications

• Bachelor's degree preferred with coursework in anatomy, physiology, medical terminology, and disease processes.
• Requires minimum 2 years of professional coding experience.
• CPC or CCS-P credential or another AAPC designation required.
• CPC-As are not acceptable at this level.
• Strong communication, critical thinking, and time management skills.

Responsibilities

• Reviews medical record documentation to determine appropriate ICD-10-CM codes for coding reviews.
• Reviews clinician charging to accurately select CPT codes and modifiers per guidelines; resolves edits.
• Maintains a minimum 95% overall coding quality score in diagnostic, procedural, modifier code selection.
• Maintains productivity as defined by the department for coding service line.
• Engages in career development: journals, articles, learning circles, attending coding education sessions.
• Reviews specialty denials and researches needed to resolve.
• Performs other coding related roles as assigned by the department manager.

Skills

Anatomy & physiology knowledge

Medical terminology

ICD-10-CM coding

CPT coding

E/M knowledge

Strong communication skills

Time management

Education

Bachelor's degree preferred

Anatomy & physiology coursework

Medical terminology coursework

Pathophysiology coursework

Disease process coursework

Job description

Yale New Haven Health is seeking a Professional Coder I to conduct comprehensive reviews of medical record documentation and perform coding tasks across multiple specialties. Duties include charge review, coding validation, denial research, and clinician communication to ensure accurate CPT and ICD-10-CM coding.

The role requires at least 2 years of professional coding experience, a CPC or CCS-P credential (AAPC) or equivalent, and strong written and verbal communication abilities.