Job Description

Senior Medical Coder

Job Overview

We are seeking a highly experienced Senior Medical Coder to support coding, billing, documentation compliance, and revenue cycle operations in a clinic setting. This role will be responsible for accurately coding high-volume encounters, resolving coding-related claim issues, supporting providers and billing staff, and contributing to ongoing quality and process improvement initiatives.

The ideal candidate will be able to work independently with minimal onboarding and begin coding accurately from day one.

Key Responsibilities

Medical Coding & Billing

• Assign CPT, ICD-10-CM, and HCPCS codes in accordance with current coding guidelines and official updates.
• Review and process encounters from charge review work queues for coding compliance, proper documentation, quality assurance, and maximum revenue capture.
• Investigate and resolve coding issues resulting in claim edits or disallowed claims.
• Communicate coding findings and claim resubmission recommendations to billing staff.
• Analyze special payer coding reports provided by revenue cycle management and conduct focused coding review projects.
• Recommend appropriate claim resubmission strategies based on coding and documentation findings.

Provider Engagement & Education

• Query providers and clinical staff for documentation clarification, coding error feedback, and required chart corrections.
• Respond to coding questions and technical inquiries from providers, billing staff, and other internal departments.
• Provide coding and documentation education and training to providers across clinical services.

Team Support & Process Improvement

• Assist the Coding Supervisor with provider training initiatives and onboarding and training new coders.
• Provide peer support to coding and billing team members.
• Contribute to departmental goals, work plans, performance measures, and continuous service delivery improvements.
• Follow and uphold the official professional coding code of ethics.

General Responsibilities

• Participate in coding and billing team meetings, educational sessions, quality improvement initiatives, and required organizational training.
• Maintain a safe work environment and follow standard workplace safety practices and policies.
• Report workplace hazards or incidents according to organizational policy.
• Foster a culture of respect, teamwork, and compassionate service.
• Adapt effectively to changing workflows and priorities while working under pressure.

Required Qualifications

• Active CPC certification through AAPC or CCS certification through AHIMA required.
• Candidates with CPCA (Apprenticeship) status are not eligible for this senior-level position.
• Minimum 5+ years of medical coding experience , or equivalent specialized clinical auditing/CPMA experience.
• Senior-level coding proficiency with the ability to independently manage high encounter volumes with minimal oversight.
• Ability to begin coding accurately with minimal onboarding or training.
• Willingness and ability to work on-site in the clinic setting 4 days per week for standard 8-hour shifts, or a full 4-day on-site block for 10-hour shifts.

Preferred Qualifications

• Previous Federally Qualified Health Center (FQHC) coding experience, including familiarity with FQHC coding nuances, billing regulations, and revenue cycle structures.
• Experience with Epic EMR and charge review work queues.
• CPMA certification or additional specialized revenue cycle expertise.

Schedule

Full-Time: 40 hours per week

Standard Schedule

• 5 days per week
• 8 hours per day
• Flexible daily start times between 6:00 AM and 6:30 PM
• Hiring manager starts at 5:30 AM

Compressed Schedule

• 4 days per week
• 10 hours per day
• 5th day entirely off, or the option to work a short shift to finish early on Friday

Work Environment

This is an on-site clinic-based position requiring a high level of independence, accuracy, and productivity. The Senior Medical Coder will work closely with providers, billing staff, coding leadership, and other internal departments to support compliant coding, accurate reimbursement, and continuous improvement of revenue cycle operations.

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