Medical Coder

Ovii's Interpretation of the Role

The Medical Coder independently reviews, analyzes, and resolves front‑end claims to ensure accurate, timely submission. The role applies coding guidelines, payer requirements, and HIPAA standards while collaborating with revenue‑cycle partners.

Role Snapshot

• Review and code front‑end claims
• Maintain ≥90% coding accuracy
• Assign ICD‑10‑CM and CPT codes with modifiers
• Resolve claim holds (≈10 per hour)
• Collaborate with revenue‑cycle partners
• Ensure HIPAA and privacy compliance
• Complete CEU requirements
• Work remotely within the United States

Must-Have Requirements

• Current AAPC or AHIMA certification
• CPT coding knowledge
• ICD‑10‑CM coding knowledge
• Medical terminology, anatomy and physiology
• Medicare reimbursement guidelines
• HIPAA compliance
• Minimum 3+ years professional coding experience
• Proficiency with Microsoft Office Suite
• medical coding
• front‑end claim processing
• AAPC or AHIMA certification
• Must hold a current AAPC or AHIMA certification
• Must be authorized to work in the United States (E‑Verify)

Nice-to-Have Signals

• Familiarity with proper English grammar and documentation standards

Work Setup

• Location: United States
• Work mode: REMOTE
• Remote scope: COUNTRY_RESTRICTED
• Remote countries: United States
• Employment type: Full-Time

Eligibility Gates

• Work authorization: Authorized to work in United States (E‑Verify)
• Visa sponsorship: no

Not Specified in JD

• Salary range
• Visa sponsorship

What You'll Likely Work On

• Independently review front‑end claim holds and assign appropriate ICD‑10‑CM and CPT codes with modifiers
• Apply payer guidelines, organizational policies, and Medicare rules to achieve clean claim rates
• Utilize internal coding resources and reference materials to ensure compliance and accuracy
• Collaborate with revenue‑cycle partners and the Coding Team Lead to resolve coding issues and trends
• Maintain coding accuracy of at least 90% while averaging 10 holds per hour
• Stay current on laws, regulations, payer policies, and HIPAA standards
• Complete required continuing education units (CEUs) and other assigned duties

Good Fit If You Have

• Detail‑oriented with strong analytical abilities
• Comfortable working independently in a fast‑paced environment
• Effective written and verbal communicator
• Proactive in identifying coding trends and escalating to the team lead