Senior Medical Coder - CPT/ICD-10 Expert

DaMar Staffing; Ewing Township (NJ); On-site; USD 55,000 - 75,000; Full time

Job summary

Integrated Resources, Inc. seeks a Certified Professional Coder in Ewing, NJ. The role focuses on reviewing and translating medical policies into CPT, HCPC, and ICD-9/ICD-10 codes for system input, ensuring accurate coding aligned with legislative mandates.

You will maintain coding databases, monitor policy changes, and support benefits criteria loading, while collaborating with a cross-functional team to deliver precise clinical coding and compliance.

Qualifications

• Bachelor's Degree preferred in a relevant field.
• RHIT or CPC/CCS designation required or preferred.
• 3-5 years of Medical Coding experience in health insurance/claims processing or utilization review.

Responsibilities

• Review and interpret Medical Policies for coding input.
• Translate policy interpretations into CPT, HCPC, ICD-9/ICD-10 codes for systems.
• Monitor compliance with policies and procedures relevant to clinical data reviewed.
• Maintain a database for policies and mandates and update codes as released.
• Assist in loading benefits criteria and ensure proper edits for coding.
• Collaborate with cross-functional teams to ensure accuracy and compliance.

Skills

CPT-4

HCPC

ICD-9/ICD-10

Anatomy knowledge

Medical terminology

Communications

Team collaboration

MS Office (Word, Excel, Access)

Education

Bachelor's degree preferred

RHIT or CPC or CCS designation

Tools

McKesson ClaimsXten

CMS websites for codes

Job description

Integrated Resources, Inc. seeks a Certified Professional Coder in Ewing, NJ. The role focuses on reviewing and translating medical policies into CPT, HCPC, and ICD-9/ICD-10 codes for system input, ensuring accurate coding aligned with legislative mandates.

You will maintain coding databases, monitor policy changes, and support benefits criteria loading, while collaborating with a cross-functional team to deliver precise clinical coding and compliance.