Evaluation & Management (E/M) Certified Coder – USA
Location: United States
Category: Medical Coding | Revenue Cycle | Compliance
Experience Required: Minimum 3 years of specialty-specific coding experience
Position Overview
We are seeking an experienced Evaluation and Management (E/M) Certified Coder to support clients in achieving continuous Revenue Cycle performance, accurate documentation, and compliant billing practices. This role is responsible for precise coding of clinic visits and surgical procedures, resolution of coding-related denials, and serving as a key resource for both clients and accounts receivable teams. The position plays an essential role in optimizing coding accuracy, provider education, and operational efficiency.
Key Qualifications
CPC certification through AAPC or AHIMA is mandatory.
Minimum 3 years of specialty-specific medical coding experience, including E/M services.
Strong understanding of clinical workflows and documentation standards.
Ability to perform production-level coding with high accuracy.
Hands-on experience with CCI edits, Revenue Cycle Management (RCM), and denial management.
Proficiency in Microsoft Word and Excel.
Training or education experience is preferred.
Strong written and verbal communication skills.
Ability to successfully pass medical coding assessments.
COSP certification preferred.
Core Responsibilities
Review medical records and assign accurate CPT, ICD-10-CM, and HCPCS codes for visits and surgical services.
Provide training to providers and coding staff on charge capture platforms and documentation workflows.
Collaborate with the Education Supervisor to implement system updates and deliver ongoing training programs.
Assist in creating coding rules, ICD-10-CM/CPT pick lists, and documentation tools for providers.
Deliver initial and ongoing education on revenue cycle topics including E/M coding, documentation requirements, and regulatory compliance.
Validate documentation accuracy through data analysis and initiate re-education when needed.
Conduct concurrent coding reviews for newly onboarded coders and providers.
Develop and maintain training materials addressing documentation or coding deficiencies.
Facilitate provider clarification and documentation queries when inconsistencies arise.
Review system or platform upgrades and update training or workflow materials accordingly.
Identify system or coding-related issues and collaborate to resolve workflow challenges.
Communicate coding updates, regulatory changes, and system modifications to providers and staff in a timely manner.
Work closely with management to identify denial trends, develop corrective actions, and reduce future claim rejections.
Apply Medicare billing rules, including LCD/NCD requirements and CCI guidelines.
Maintain advanced proficiency in MS Excel, Word, and PowerPoint for reporting and training.
Ensure adherence to organizational internal controls, coding policies, and regulatory standards.
Handle Protected Health Information (PHI) in strict compliance with HIPAA.
Perform additional account management duties as assigned.
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