Primary Care Medical Coding Specialist

United Health Services, Inc.; City of Binghamton (NY); On-site; USD 34,000 - 55,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

403(b) retirement plan

Tuition reimbursement

Wellness rewards

PTO accrual

Job summary

United Health Services (UHS) seeks a Primary Care Coder to assign ICD-10, CPT, and HCPCS codes across outpatient and clinical practice settings, including internal medicine, family practice, pediatrics, and emergency department encounters. Accuracy and regulatory compliance are essential to support reimbursement and high-quality patient care.

The ideal candidate will have coding experience, knowledge of payer requirements, and the ability to review documentation, query providers, and maintain

Qualifications

• Minimum: High School Diploma; 1 year relative medical billing or coding experience.
• Preferred: Associate's Degree in HIT with RHIT or CPC, CCA, CCS-P or CCS certification.
• 3 years of medical coding/billing experience; CPT and ICD-10 coding knowledge.
• Ability to read and understand explanation of benefits and ANSI/remark codes.

Responsibilities

• Assign accurate ICD-10 diagnosis, CPT procedure, and HCPCS codes, including appropriate modifiers, in accordance with payer requirements, regulatory standards, and organizational policies.
• Review clinical documentation to ensure coding accuracy, completeness, and compliance with reimbursement guidelines.
• Enter and validate professional and technical charges based on medical record documentation and established departmental procedures.
• Monitor and resolve coding-related work queues, claim edits, and billing exceptions in a timely manner to support clean claim submission.
• Query physicians and other healthcare providers to clarify incomplete, ambiguous, or conflicting documentation necessary for accurate code assignment.
• Abstract and document pertinent patient and encounter information from medical records using designated coding and billing software applications.
• Maintain established productivity, quality, and accuracy standards while identifying and escalating coding concerns to leadership as appropriate.
• Stay current with ICD-10, CPT, HCPCS, Medicare, Medicaid, commercial payer, and regulatory coding requirements to ensure ongoing compliance.
• Adhere to patient confidentiality, release of information, medical record amendment, and other medico-legal policies in accordance with organizational and regulatory standards.
• Uphold the AHIMA and AAPC Standards of Ethical Coding while completing required continuing education activities and maintaining applicable coding certifications.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Regulatory knowledge

AHIMA standards

Education

Associates Degree in HIT (preferred)

RHIT / CPC / CCA / CCS-P / CCS certification (preferred)

Tools

Coding and billing software

Job description

United Health Services (UHS) seeks a Primary Care Coder to assign ICD-10, CPT, and HCPCS codes across outpatient and clinical practice settings, including internal medicine, family practice, pediatrics, and emergency department encounters. Accuracy and regulatory compliance are essential to support reimbursement and high-quality patient care.

The ideal candidate will have coding experience, knowledge of payer requirements, and the ability to review documentation, query providers, and maintain