Certified Coder

Broadway Ventures

1d

About The Position

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.
Position Summary
We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. This role requires deep expertise in Medicare coding guidelines, DRG validation, and CMS FFS RAC Program requirements.

Requirements

• High School Diploma required
• Associate degree or higher preferred
• Certification from an accredited organization such as: American Association of Professional Coders (AAPC), or American Health Information Management Association (AHIMA)
• RHIA or RHIT credentials accepted if issued by AHIMA in the field of health information
• Minimum of five (5) years of direct coding or billing experience in the applicable specialty
• Five (5) years of Diagnosis-Related Groups (DRG) validation experience required
• Extensive knowledge of the Medicare program
• Working knowledge of CMS Fee-for-Service (FFS) Recovery Audit Contractor (RAC) Program requirements and activities

Responsibilities

• Perform complex coding validations for accuracy reviews, disputes/disagreements, special studies, and review topic proposals
• Contribute documentation and analysis for coding validation deliverables
• Participate in quality assurance activities to ensure consistency and accuracy of coding determinations

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 51-100 employees