Certified Coder

Vytalize Health•Kansas City, KS

About The Position

As a Certified Medical Coder at Vytal Health Partners, you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes. You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards. In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence. This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations.

Requirements

Two years of experience in medical record coding and denial management.
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements.
Proficiency with coding encoder software, electronic medical record (EMR) systems (EPIC experience preferred but not required), Microsoft Office applications, and other healthcare technology platforms.
Knowledge of Medicare, Medicaid, and commercial payer policies, including documentation, coding, reimbursement, and compliance requirements.
Strong analytical and problem-solving skills with the ability to research coding regulations, interpret payer policies, identify root causes of denials, and develop effective solutions.
Ability to review, interpret, and apply complex medical documentation, coding guidelines, policies, procedures, laws, and regulations.
Ability to exercise sound independent judgment while maintaining a high degree of accuracy, attention to detail, and professionalism.
Excellent written and verbal communication skills.
Strong interpersonal skills with the ability to build collaborative working relationships with providers, operational leaders, and revenue cycle teams.
Demonstrated commitment to confidentiality, ethical conduct, and compliance with HIPAA and organizational policies.
Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC)
Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA)

Nice To Haves

EPIC experience
Experience reviewing and resolving coding-related denials, underpayments, and payer audit findings

Responsibilities

Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and compliance with regulatory requirements.
Review and analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes.
Research payer policies, coding guidelines, and medical record documentation to support denial appeals, claim corrections, and reconsideration requests when appropriate.
Collaborate with billing and operational teams to resolve coding-related claim issues, reduce recurring denials, and improve first-pass claim acceptance rates.
Monitor coding, billing, and denial trends; prepare reports and collaborate with leadership and operational teams to implement process improvements, coding edits, and workflow enhancements that support compliance and reimbursement optimization.
Stay current on changes to coding regulations, reimbursement methodologies, payer policies, and industry best practices through ongoing education and professional development.