Medical Coding Specialist: Front-End Claims & Appeals

Innovaccer Analytics; Oregon; Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

20 days Paid Time Off

Generous parental leave

Performance-based incentives

Company-paid disability and life

Job summary

Innovaccer Inc. is seeking a Medical Coder to independently review, analyze, and resolve front-end scrubs and denied claims to ensure accurate and timely payment.

The role emphasizes applying coding guidelines, payer requirements, and organizational policies while working with revenue cycle partners in a fast-paced environment. The ideal candidate will hold a current AAPC or AHIMA Coding Certification with at least 3 years of professional coding experience and strong CPT/ICD-10-CM knowledge.

Qualifications

• Minimum 3 years of professional coding experience.
• Proficient in CPT, ICD-10-CM and medical terminology.
• Knowledge of state and federal Medicare reimbursement guidelines.
• Experience reviewing front-end coding errors and denials.
• Commitment to HIPAA privacy and compliant documentation.

Responsibilities

• Review and resolve all front-end holds/denials.
• Resubmit corrected claims to insurance.
• Create appeal letters with medical documentation.
• Maintain coding accuracy of at least 92%.
• Assign ICD-10-CM and CPT codes with appropriate modifiers.
• Collaborate with revenue cycle to prevent claim rejections.

Skills

Coding knowledge

3+ years professional coding

CPT & ICD-10-CM

Medical terminology & anatomy

HIPAA compliance

Microsoft Office proficiency

Education

AAPC/AHIMA Coding Certification

Tools

Microsoft Office

Job description

Innovaccer Inc. is seeking a Medical Coder to independently review, analyze, and resolve front-end scrubs and denied claims to ensure accurate and timely payment.

The role emphasizes applying coding guidelines, payer requirements, and organizational policies while working with revenue cycle partners in a fast-paced environment. The ideal candidate will hold a current AAPC or AHIMA Coding Certification with at least 3 years of professional coding experience and strong CPT/ICD-10-CM knowledge.