Senior Medical Coder & Coding Compliance Leader

The Judge Group; United States; On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare consulting firm is seeking a Senior Medical Coder to be the subject matter expert on medical coding. The role includes analyzing coding guidelines, reviewing medical records, and ensuring compliance with regulations. Candidates should have over 10 years of medical coding experience, strong knowledge of HIPAA compliance, and excellent leadership skills. This position requires collaboration with technical teams to enhance revenue optimization and maintain coding integrity.

Qualifications

• 10+ years of medical coding experience required.
• Certification in medical coding and/or fraud investigations preferred.

Responsibilities

• Act as the company expert on billing codes and code-edit content.
• Analyze and apply coding guidelines to product solutions.
• Develop code-editing strategies using AI technology.
• Review and assign ICD-10-CM and ICD-10-PCS codes.
• Maintain HIPAA compliance and adhere to regulations.

Skills

Healthcare or insurance industry processes understanding

HIPAA compliance

Claims adjudication

Payment integrity

Medical coding tools

Excellent communication skills

Leadership skills

Ability to lead teams

Education

Bachelor’s degree or Associate degree

Tools

EMR/EHR workflows

Code-editing tools

Job description

A leading healthcare consulting firm is seeking a Senior Medical Coder to be the subject matter expert on medical coding. The role includes analyzing coding guidelines, reviewing medical records, and ensuring compliance with regulations. Candidates should have over 10 years of medical coding experience, strong knowledge of HIPAA compliance, and excellent leadership skills. This position requires collaboration with technical teams to enhance revenue optimization and maintain coding integrity.