• The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines • Analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models • Collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices • Perform coding for patient health assessments • Conduct peer coding quality reviews • Support provider and coding team training and education • Conduct prospective medical chart audits • Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes • Educate clinicians on coding opportunities identified in chart reviews • Perform accurate and timely coding (CPT, ICD-10, HCPCS, modifiers) • Provide timely correspondence with providers regarding clinical documentation opportunities and queries • Identify trends through data analysis or chart review • Maintain a minimum of 95% coding accuracy and meet established productivity standards • Stay current with regulatory, documentation, and coding guidelines

• Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy. • Analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. • Ensure the accurate selection of the principal diagnosis, principal procedure, and all applicable diagnoses and procedures. • Ensure compliance with official guidelines (ICD-10-CM, ICD-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures. • Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. • Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. • Follow coding workflows for service type to include addressing compliance reviews. • Submit physician queries when clarification of documentation is needed.

Role Description Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED What You’ll Do - Review and validate claim data to determine appropriate payment outcomes. - Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. - Work primarily with emergency services claims, including ambulance and air ambulance cases. - Operate within a proprietary claims management system. - Collaborate with internal teams to clear a significant backlog of cases. Note: This is not a coding-heavy role. You’ll use your coding knowledge to interpret and validate claims, not to perform coding tasks. Qualifications - CPC or CPC-A certification (required). - 2-3 years of Medical Collections experience - must have experience with denials/appeals (required). - Familiarity with emergency services billing is a plus, but not required. - Strong attention to detail and ability to make objective decisions. - Adaptability and eagerness to contribute to a newly built team. Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave). Job Type & Location This is a Contract to Hire position based out of Houston, TX. Pay and Benefits The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 9, 2026.

Role Description The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded charges. Applies the appropriate diagnoses, surgical and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. Resolves pre-bill edits and appropriate follow-up. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions. Receives no instructions on routine work and general instructions on new assignments. Qualifications - Associate’s degree in a work-related field/discipline from an accredited college or university. Relevant experience in lieu of degree may be considered (requires approval). - Relevant experience in lieu of degree is in addition to the experience requirements for this position. Requirements - Two (2) years of progressively responsible and directly related work experience. - Ability to adapt to and deal with change and ambiguity. - Ability to foster effective working relationships and build consensus. - Ability to plan, organize, prioritize, work independently and meet deadlines. - Ability to solve technical and non-technical problems. - Ability to utilize the ICD-9-CM & CPT-4 coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups. - Ability to work effectively with individuals at all levels of the organization. - Knowledge of CCI (Correct Coding Initiatives) and CMS compliance issues. - Knowledge of computer systems and software used in functional area. - Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases. Licenses and Certifications - CPC and/or CCSP - Certified Professional Coder. - RHIT - Registered Health Information Technician. - RHIA - Registered Health Information Administrator. - CCS - Certified Coding Specialist. Benefits - Base Pay Scale: Generally starting at $52.37 - $58.98 per hour. - The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. - This pay scale is not a promise of a particular wage.