Medical Coder I: ICD-10/CPT Specialist

Yale NewHaven Health; New Haven, Northern (CT, KY); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Yale NewHaven Health seeks a Professional Coder I to review medical record documentation for ICD-10-CM and CPT coding across multiple specialties in a fast-paced, virtual coding environment. You will interact with clinicians to resolve denials and ensure accurate code assignment.

The role requires CPC or CCS-P credentials and a minimum of 2 years of professional coding experience. A bachelor’s degree is preferred, with coursework in anatomy, physiology, and medical terminology.

Qualifications

• Bachelor's degree preferred with coursework in anatomy and physiology, medical terminology.
• Minimum 2 years of professional coding experience.
• CPC or CCS-P credential required (AAPC).

Responsibilities

• Reviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines.
• Reviews clinician charging to accurately select and/or validate CPT codes and modifiers in accordance with official coding guidelines. This includes resolving coding edits.
• Maintains a minimum of 95% overall coding quality score in work that qualifies for a coding review.
• Maintains the productivity expectations as defined by the department for the coding service line.
• Participates in career development activities by reading journals, coding articles, researching procedures, and attending coding education sessions.
• Reviews specialty specific denials and consults research needed to resolve.
• Completes other coding related roles and responsibilities as assigned by the department manager.

Skills

ICD-10-CM coding

CPT coding

Medical terminology

Auditing/denials research

Communication skills

Time management

Education

Bachelor's degree preferred

Job description

Yale NewHaven Health seeks a Professional Coder I to review medical record documentation for ICD-10-CM and CPT coding across multiple specialties in a fast-paced, virtual coding environment. You will interact with clinicians to resolve denials and ensure accurate code assignment.

The role requires CPC or CCS-P credentials and a minimum of 2 years of professional coding experience. A bachelor’s degree is preferred, with coursework in anatomy, physiology, and medical terminology.