Medical Coder - Immediate Hire - fully remote

Certified Medical Coder | Remote | Temp to Hire | $21.42/Hour

Put Your Medical Coding Expertise to Work From Home!

Are you an experienced Certified Medical Coder with a strong background in reimbursement reviews, revenue cycle management, and payment analysis? We are seeking a detail-oriented professional to join our team in a remote, temp to hire opportunity where you'll play a critical role in ensuring accurate reimbursement decisions and supporting healthcare payment integrity.

If you enjoy solving complex reimbursement challenges, analyzing medical claims, and making data-driven decisions, we'd love to hear from you.

Pay

• $21.42 per hour

Position Details

• Location: Remote
• Employment Type: Temp to Hire
• Schedule: Monday through Friday, 8:30 AM to 5:00 PM
• Equipment: Provided by Client

What You'll Do

As a Certified Medical Coder, you will perform retrospective payment reimbursement reviews while ensuring compliance with coding guidelines, payer policies, and reimbursement regulations.

Key responsibilities include:

• Review complex medical claims and reimbursement determinations
• Analyze payment discrepancies, denials, recoupments, and claim adjustments
• Interpret Explanations of Benefits (EOBs) to determine appropriate reimbursement
• Apply CPT, ICD-10-CM, HCPCS, and modifier guidelines accurately
• Evaluate payer policies, regulatory requirements, and contractual obligations
• Research and resolve reimbursement issues through critical analysis
• Prepare clear, professional, and well-supported payment determination letters
• Identify reimbursement trends and revenue recovery opportunities
• Ensure compliance with coding standards and healthcare regulations
• Collaborate with internal teams to resolve complex reimbursement scenarios
• Manage multiple priorities while maintaining exceptional accuracy and meeting deadlines

What We're Looking For

Our client prefers candidates with 3 to 5 years of medical coding and reimbursement review experience.

Required Qualifications

• Current Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification through AAPC or AHIMA
• Strong knowledge of:
• • ICD-10-CM
  • CPT
  • HCPCS
  • CPT modifiers and reimbursement methodology
• Experience interpreting Explanations of Benefits (EOBs), including:
• • Payment corrections
  • Recoupments
  • Claim adjustments
  • Underpayments
• Broad knowledge of CPT coding across multiple medical specialties
• Strong understanding of healthcare reimbursement and payer guidelines
• Exceptional analytical, critical thinking, and problem-solving skills
• Excellent written communication skills with the ability to prepare formal payment determination letters
• Ability to manage multiple priorities in a fast-paced, deadline-driven environment
• High level of accuracy and attention to detail

Preferred Experience

Experience with Revenue Cycle Management (RCM), including:

• Charge capture
• Claims submission
• Payment posting
• Denial management
• Appeals
• Accounts receivable
• Contract compliance
• Underpayment identification
• Revenue recovery analysis

Knowledge of the No Surprises Act and its impact on reimbursement and billing practices is highly preferred.

Education

• High School Diploma or GED required
• Associate's degree from an accredited college or university preferred

Why You'll Love This Opportunity

• Fully remote position
• Equipment provided
• Monday through Friday schedule with evenings and weekends off
• Temp to hire opportunity with long-term career potential
• Join a collaborative team focused on payment integrity and healthcare compliance
• Work on challenging, meaningful reimbursement reviews that directly impact healthcare outcomes

If you're an experienced Certified Medical Coder with a passion for reimbursement analysis, revenue cycle management, and payment accuracy, apply today and take the next step in your healthcare career!