Remote Certified Medical Coder – ICD-10/CPT Expert

Health Business Solutions LLC; Town of Florida (NY); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k) with employer match

Health, Dental, and Vision Insurance

Life Insurance

Paid Time Off

Job summary

Health Business Solutions LLC is seeking a Certified Medical Coder to perform accurate inpatient and outpatient coding to support timely billing and maximize revenue integrity. The coder will assign ICD-10-CM, CPT, and HCPCS codes and verify documentation to meet CMS guidelines and payer requirements.

This remote role collaborates with billing teams, clinicians, and auditors to reduce denials and improve claim quality.

Qualifications

• Must hold active certification (AAPC CPC/CRC/COC or AHIMA CCS/CCS-P).
• 2–3 years of professional coding experience in IP/IP or OP settings.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding.
• Experience with EHR platforms (Epic, Cerner, Meditech).

Responsibilities

• Review and assign ICD-10-CM, CPT, and HCPCS codes for IP and OP encounters.
• Validate documentation to ensure codes reflect payer rules and CMS guidelines.
• Collaborate with providers to obtain missing documentation via compliant queries.
• Ensure coding accuracy meets CMS, OIG, HIPAA, and internal standards.
• Assist billing and denial teams with claim edits, rejections, and appeals.
• Monitor coding trends to identify denials and documentation gaps.
• Participate in audits and quality reviews to bolster compliance.
• Meet productivity and accuracy benchmarks set by the RCM department.
• Stay updated on annual coding changes and payer policies.
• Maintain secure remote work practices to protect PHI.

Skills

ICD-10-CM knowledge

CPT/HCPCS coding

EHR proficiency

Attention to detail

Regulatory compliance

Education

High school diploma

Tools

Epic

Cerner

Meditech

Job description

Health Business Solutions LLC is seeking a Certified Medical Coder to perform accurate inpatient and outpatient coding to support timely billing and maximize revenue integrity. The coder will assign ICD-10-CM, CPT, and HCPCS codes and verify documentation to meet CMS guidelines and payer requirements.

This remote role collaborates with billing teams, clinicians, and auditors to reduce denials and improve claim quality.