Review and interpret patient medical records to assign accurate ICD-10-CM and CPT codes. Collaborate with healthcare providers on documentation and coding accuracy while maintaining up-to-date knowledge of coding guidelines and regulations.

• Review inpatient and/or outpatient medical records to identify and assign relevant diagnosis codes using ICD-10 classification systems to ensure accuracy and compliance of risk adjustment. • Review and validate provider-submitted and/or vendor-submitted medical record documentation and ICD-10 diagnosis codes to identify and correct any inaccuracies or discrepancies to ensure accuracy and compliance of risk adjustment. • Responsible for meeting production targets while adhering to strict quality audit accuracy of 95%. • Provide non-production level support by documenting coder observations that would not otherwise be captured through the diagnosis coding. • Assist Provider Educator during audit results presentation with provider groups by answering diagnosis coding questions. • Administrative duties including updating SOPs, DTPs and other related documents. • Participating in process improvement initiatives such as but not limited to coding tool enhancements.

• Design and implement customer journeys using Adobe Journey Optimizer (AJO) • Develop and configure Journey Maps for personalized customer engagement • Build and customize email/content using AJO HTML templates • Collaborate with marketing and business teams to translate requirements into journey workflows • Perform QA and testing of journeys, campaigns, and personalization logic • Troubleshoot and resolve issues in journey execution and delivery • Optimize journeys for performance, conversion, and customer experience • Ensure data accuracy and seamless integration across Adobe Experience Platform components

Role Description The Medical Coding Specialist is responsible for performing detailed review and coding of EMS transport claims to ensure accuracy, compliance, and appropriate reimbursement. This role assigns the correct level of service, validates medical necessity, determines appropriate payer routing, and ensures that all documentation required to release a claim is complete and accurate. The ideal candidate brings strong clinical judgment, exceptional attention to detail, and working knowledge of EMS or medical billing practices. Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical claims is highly preferred. This is a remote, work-from-home position. The Medical Coding Specialist works Monday–Friday, 8:00 a.m. – 4:30 p.m. Eastern Time. Essential Duties and Responsibilities - Review claims thoroughly to assign accurate levels of service, correct carriers, and all other required billing details prior to claim submission. - Evaluate documentation for medical necessity, appropriateness of the service level, and compliance with payer-specific and regulatory coding requirements. - Verify all required signatures, documentation elements, and clinical indicators needed to support proper claim adjudication. - Identify, research, and correct discrepancies in patient information, incident details, service levels, and billing data. - Validate trip mileage and service details, investigating variances and ensuring all data points match source documentation. - Apply knowledge of EMS coding rules, Medicare/Medicaid guidelines, and commercial payer requirements to ensure accurate billing. - Manage a high daily claim volume, consistently meeting productivity targets and accuracy standards. - Maintain thorough and compliant documentation for all coding actions, updates, and claim modifications. - Communicate professionally with internal partners as needed to clarify documentation or resolve coding questions. - Additional job duties as assigned. Qualifications - High School Diploma or equivalent required. - Superior attention to detail, strong follow-through, and the ability to consistently meet daily deadlines. - Experience as a Paramedic, EMT, RN, LPN, or prior experience coding emergency medical or pre-hospital care claims is preferred. - Knowledge of medical billing processes, claim workflows, and healthcare documentation standards. - Strong computer proficiency, including working knowledge of MS Outlook, Word, and Excel. - Minimum typing speed of 40 WPM with a high level of accuracy. - Ability to work independently in a remote environment, maintaining focus and productivity in a quiet workspace. - Strong organizational and time-management skills, with the ability to prioritize and manage a large workload. - Experience working in metrics-driven environments or performance-scored roles is helpful. - Excellent verbal and written communication skills, with the ability to convey information clearly and professionally. - Demonstrated accountability, reliability, and willingness to seek clarification when needed. - Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment. Benefits - Competitive salary, commensurate with experience. - Comprehensive benefits package, including 401(k) Plan.