Description
Job Summary: The Coder is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes to support compliant billing and optimal reimbursement. This role works closely with providers and billing staff to ensure coding accuracy, reduce denials, and strengthen revenue integrity across the organization.
Supervisory Responsibilities: N/A
Essential Duties / Responsibilities:
- Review clinical documentation and assign appropriate CPT, ICD-10, and HCPCS codes in accordance with payer requirements and regulatory guidelines.
- Ensure coding accuracy to support clean claim submission and reduce denials or rejections.
- Communicate with providers to clarify documentation and address coding-related questions.
- Stay current on coding updates, payer policies, and industry best practices.
- Identify coding trends or documentation gaps and recommend improvement opportunities.
- Assist with coding audits and respond to audit requests from internal and external entities.
- Support denial management workflows by reviewing coding-related denials and recommending corrective actions.
- Maintain accurate and organized coding records and documentation.
- Ensure compliance with HIPAA, CMS guidelines, and organizational coding standards.
- Other duties as assigned.
Required Skills / Abilities:
- Strong knowledge of CPT, ICD-10, and HCPCS coding
- Understanding of payer rules
- Attention to detail with strong communication skills
- Proficiency with EMR/EHR platforms.
Education and Experience:
- Coding certification required (CPC, CCS, CCS-P, or equivalent).
- 1–3 years of coding experience; specialty coding experience preferred.
*StrideCare is an Equal Opportunity Employer and is committed to diversity and inclusion in our workforce. We encourage applications from candidates of all backgrounds and experiences.
Requirements
- Ability to sit for extended periods while working at a computer.
- Manual dexterity required for operating office equipment (e.g., computers, phones, fax machines).
- Ability to lift and carry up to 20 pounds occasionally.
- Visual acuity is required to perform tasks involving computer screens and paper documents.
- Ability to move around the office to access files, office machinery, and other equipment.
