Certified Medical Coder

Description

Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. 

Essential Responsibilities 

• Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services.  
• Ensure coding complies with payer guidelines, federal regulations, and organizational policies.  
• Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff.  
• Review claims for coding accuracy prior to submission.  
• Assist with denial management and coding-related appeals as needed.  
• Stay current with coding updates, payer requirements, and regulatory changes.  
• Maintain strict patient confidentiality and HIPAA compliance.  

Requirements

• Current coding certification required (CPC, CCS-P, or equivalent).  
• Minimum of two (2) years of medical coding experience in a physician office or medical practice required. 
• Pediatric coding experience preferred.  
• Knowledge of ICD-10-CM, CPT, HCPCS, and payer-specific coding guidelines.  
• Experience using electronic medical record (EMR) systems.  
• Strong attention to detail, analytical skills, and organizational abilities.  
• Excellent written and verbal communication skills.