Remote Medical Coding Implementation Engineer

Commence; Virginia Beach, Northern (VA, KY); Hybrid; USD 100,000 - 140,000; Full time

Job summary

Commence is seeking a Medical Coding Implementation Engineer to map EHR data, write advanced SQL, and configure coding logic for surgical procedures and payer rules. The role spans data integration, validation, and go-live support in AWS environments, interfacing with clinical and revenue cycle leadership.

You will work in a hybrid setup, collaborating with engineers and customer teams to ensure accurate production coding outcomes and continuous improvement of validation tooling.

Qualifications

• 3+ years implementing, configuring, or supporting healthcare software at provider organizations, or 3+ years in revenue cycle, HIM, or coding operations with hands-on system configuration responsibility.
• Working knowledge of medical coding with direct exposure to surgical and procedural coding: CPT, ICD-10-CM and PCS, modifier application, NCCI edits, and operative note documentation.
• Proficiency in SQL, including joins, aggregation, subqueries, and window functions, with the ability to independently investigate a data question end to end against large tables.
• Working hands-on experience in AWS, including S3, RDS, EC2, CloudWatch, and IAM at a practitioner level.
• Git for version control: branching, pull requests, and participation in code review.
• Ability to read Java and make small, bounded changes to existing components. This is not a software development role and no full-stack development experience is required.
• Demonstrated pattern recognition: experience looking at a discrepancy report spanning hundreds of cases and identifying the systematic cause rather than resolving case by case.
• Detail orientation with evidence behind it, from a role where a single incorrect character carried financial, clinical, or compliance consequences.
• Ability to hold a technical conversation with engineers and a business conversation with clinical and revenue cycle leadership, adjusting register for each audience.
• Bachelor's degree, or four additional years of relevant experience in place of a degree.

Responsibilities

• Map customer source data from EHR, scheduling, billing, and document repositories into the platform ingestion model, and define inbound and outbound interface requirements with the customer's IT and revenue cycle teams.
• Write and validate SQL against customer extracts and platform databases to confirm data completeness, diagnose mapping defects, and build reconciliation queries that prove coverage.
• Configure and implement coding logic for the customer's procedure catalog, specialty mix, modifier conventions, documentation patterns, and payer-specific requirements.
• Run the side-by-side validation period: produce daily comparison reporting between platform output and customer coder output, root-cause each discrepancy to data, rule, or model, and drive remediation to closure before go-live.
• Own gap remediation through go-live and the stabilization window, escalating platform defects to the product engineering team with reproducible cases and supporting data.
• Work day-to-day in AWS and operate within customer-segregated environments.
• Maintain customer configuration, mapping definitions, and coding rules in Git, and submit changes through the standard branch and review process.
• Read Java-based rule and integration components well enough to trace behavior, and make small, well-scoped changes under Engineering review.
• Serve as the customer's day-to-day technical point of contact through implementation, translating between clinical and revenue cycle stakeholders and Commence and partner engineers.
• Contribute runbooks, reusable configuration patterns, and validation tooling that shorten the next implementation.

Skills

SQL proficiency

AWS experience

Git version control

Java reading

Stakeholder communication

Detail orientation

Data analysis

Education

Bachelor's degree

Tools

AWS

Git

Java

Epic

Cerner

Python

Job description

Commence is seeking a Medical Coding Implementation Engineer to map EHR data, write advanced SQL, and configure coding logic for surgical procedures and payer rules. The role spans data integration, validation, and go-live support in AWS environments, interfacing with clinical and revenue cycle leadership.

You will work in a hybrid setup, collaborating with engineers and customer teams to ensure accurate production coding outcomes and continuous improvement of validation tooling.