Medical Coding Specialist — Front-End Claims Pro

Innovaccer Inc.; United States; On-site; USD 39,000 - 52,000; Full time

Benefits offered by this job

PTO 20 days

Parental leave

Rewards program

Insurance coverage

Job summary

Innovaccer Inc. in the United States is seeking a Medical Coder to review, analyze, and resolve front-end scrubs and denied claims, ensuring accurate and timely payments.

You will apply CPT/ICD-10-CM codes, modifiers, and payer guidelines while maintaining HIPAA compliance. The role emphasizes independent work in a fast-paced revenue cycle environment, collaboration with Coding Team Leads, ongoing CEU compliance, and opportunities to contribute to process improvements, maintain accuracy above

Qualifications

• Must hold a current AAPC or AHIMA Coding Certification for a minimum of 3 years.
• Minimum of 3+ years of professional coding experience.
• Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and Medicare reimbursement guidelines.
• Prior experience reviewing front-end coding errors before submitting to insurance.
• Prior experience reviewing and correcting coding from insurance denials and EOBs.

Responsibilities

• Averages 10 front-end holds/denials per hour.
• Reviews coding and resubmits corrected claims to insurance.
• Creates appeal letters/forms with medical documentation.
• Maintains a minimum of 92% coding accuracy.
• Assigns ICD-10-CM and CPT codes with appropriate modifiers for professional services.
• Reviews medical records to determine appropriate codes for documented services.
• Ensures all diagnosis codes meet guidelines.
• Follows HIPAA regulations and maintains privacy standards.

Skills

AAPC Certification

AHIMA Certification

CPT Coding

ICD-10-CM

Medical Terminology

HIPAA Compliance

Microsoft Office

Tools

None

Job description

Innovaccer Inc. in the United States is seeking a Medical Coder to review, analyze, and resolve front-end scrubs and denied claims, ensuring accurate and timely payments.

You will apply CPT/ICD-10-CM codes, modifiers, and payer guidelines while maintaining HIPAA compliance. The role emphasizes independent work in a fast-paced revenue cycle environment, collaboration with Coding Team Leads, ongoing CEU compliance, and opportunities to contribute to process improvements, maintain accuracy above