Professional, Coding (2/11)

Position Summary

We are seeking an experienced E/M coder with strong Outpatient (OP) and Inpatient (IP) coding knowledge to support coding quality, denial prevention, and rejection resolution activities. The individual will serve as a subject matter expert (SME), assisting coders in accurate code assignment, denial analysis, and provider documentation improvement.Key Responsibilities

• Review and resolve coding-related denials and rejections.
• Perform OP and IP E/M coding audits, Surgery knowledge would be an added advantage.
• Validate E/M level selection based on MDM and time-based guidelines.
• Identify root causes and denial trends.
• Provide coding education and feedback to team members.
• Support quality initiatives and coding accuracy improvements.
• Collaborate with Operations, Quality, and Denial Management teams.
• Assist with provider documentation clarification when needed.
Required Qualifications

• Minimum 3-5 years of E/M coding experience.
• Strong knowledge of OP and IP E/M guidelines.
• Experience reviewing coding denials and payer rejections.
• Ability to interpret medical records and apply coding guidelines accurately.
• Strong analytical and communication skills.
• CPC, CCS, or equivalent coding certification preferred.
Preferred Skills

• Strong understanding of medical necessity requirements.
• Knowledge of modifier usage and payer-specific guidelines.
• Ability to mentor and support junior coders.
• Experience in eCW, Athena, Epic & Cerner
Key Competencies

• Attention to Detail
• Critical Thinking
• Problem Solving
• Quality Focus
• Effective Communication
• Team Collaboration

Department: CODINGOP
Experience: 3-5
Posted: 2026-11-02T17:47:37.067Z