Pediatric Medical Coder - ICD-10/CPT Expert (Hybrid)

Mhawny; Village of Williamsville (NY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This role reviews clinical documentation, assigns accurate ICD-10-CM, CPT, and HCPCS codes, and ensures compliance with coding regulations and payer guidelines.

You will identify coding discrepancies, assist with denial management, and stay updated with regulatory changes while maintaining HIPAA compliance and patient confidentiality.

Qualifications

• Current coding certification required (CPC, CCS-P, or equivalent).
• Minimum of two (2) years of medical coding experience in a physician office or medical practice.
• Pediatric coding experience is preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines.
• Experience using electronic medical record (EMR) systems.
• Strong attention to detail, analytical skills, and organizational abilities.
• Excellent written and verbal communication skills.

Responsibilities

• Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services.
• Ensure coding complies with payer guidelines, federal regulations, and organizational policies.
• Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff.
• Review claims for coding accuracy prior to submission.
• Assist with denial management and coding-related appeals as needed.
• Stay current with coding updates, payer requirements, and regulatory changes.
• Maintain strict patient confidentiality and HIPAA compliance.

Skills

Attention to detail

Analytical skills

Organizational abilities

Written communication

Verbal communication

Tools

EMR systems

Job description

Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This role reviews clinical documentation, assigns accurate ICD-10-CM, CPT, and HCPCS codes, and ensures compliance with coding regulations and payer guidelines.

You will identify coding discrepancies, assist with denial management, and stay updated with regulatory changes while maintaining HIPAA compliance and patient confidentiality.