Job Description
Job Description
Seeking a detail-oriented and accurate Certified Medical Coder with experience in Durable Medical Equipment (DME) coding, ideally within the Workers’ Compensation sector. The role involves applying knowledge of state-specific workers’ comp guidelines and payer rules to ensure compliant billing and proper reimbursement through accurate HCPCS coding.
Duties and Responsibilities:
- Accurately assign and sequence medical codes in compliance with government and insurance regulations.
- Apply state-specific Workers’ Compensation rules, including fee schedules and documentation requirements.
- Review and verify orders, contracts, and provider data for accuracy.
- Communicate with staff to clarify incomplete or unclear information.
- Identify and correct coding issues to support clean claim submissions.
- Handle denials and documentation requests with timely and compliant resubmissions.
- Ensure all coding practices meet HIPAA, OIG, and industry compliance standards.
- Perform additional duties as assigned by management.
Qualifications:
- Experience: 2–5 years in healthcare coding.
- **Education: High school diploma or GED required; Associate’s degree or equivalent training preferred.
- Certification: CPC, CCS-P, or CCS preferred.
- Technical Skills : Proficient in Microsoft Office (Word, Excel) and experienced with EHR/EMR and billing software (e.g., Kareo, Brightree, or similar).
- Knowledge: Strong understanding of HCPCS Level II codes and medical billing procedures.
Benefits:
- Paid time off in the first year
- Paid day off during your birthday month
- Immediate eligibility for paid holidays
- Health and welfare benefits (eligible first of the month after 60 days)
- Company-provided life insurance
- Employee Assistance Program (available Day 1)
- Supportive and positive work environment
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Job Tags
Work at office, Immediate start,