Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.
Medical Coding Specialist
Location
United States
Posted
3 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Medical Coding Specialist
Innovaccer Analytics
Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance Company Description Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Coder – Outpatient
Highmark HealthCreating remarkable health experiences, freeing people to be their best.
• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. ( 65%) • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. ( 15%) • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. ( 10%) • Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. ( 5%) • Performs other duties as assigned or required. (5%)
Medical Coding Specialist - I
Innovaccer AnalyticsInnovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.
Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Pay Range $24-$28/HR. It's a full time non exempt role. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays - Best-in-Class Parental Leave: Spend quality time with your growing family - Recognition & Rewards: Get rewarded with monetary incentives and company-wide recognition for your impact and dedication - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance
Medical Coder, Specialist
InnovaccerTwo years in a row: Innovaccer Awarded Best in KLAS Data & Analytics Platforms Category.
• The Medical Coder is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.
Medical Coder Specialist
Innovaccer AnalyticsInnovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.
Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy. - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. - Ensures all diagnosis codes meet local and national medical necessity guidelines. - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. - Independently reviews and resolves all assigned front-end claim holds. - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. - Escalates identified client trends to the assigned Coding Team Lead. - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. - Maintains and completes all CEU requirements. - Performs other duties or tasks as assigned. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years. - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. - Familiarity with proper English grammar, usage, and professional documentation standards. - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues. - Ability to read, interpret, and apply policies, procedures, laws, and regulations. - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. - Demonstrated ability to exercise independent judgment in coding and claim resolution. - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. - Strong commitment to maintaining confidentiality and safeguarding protected health information. - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams). - Minimum of 3+ years of professional coding experience. Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

