Certified Professional Coder (CPC), DME

Verse Medical•Remote, Remote

2d•Remote

About The Position

Verse Medical is hiring a Certified Professional Coder (CPC), DME, to help ensure durable medical equipment orders are coded and documented correctly, so patients receive equipment without delay and payors have complete, supportable claims. The role is part of the Revenue Cycle Management team and supports Verse Medical’s mission to improve coordination and access to hospital-quality care at home. The coder will own HCPCS Level II, modifier, and ICD-10-CM selection across a broad DME catalog, including CPAP, oxygen, hospital beds, enteral nutrition, mobility, and incontinence supplies. The position will run internal chart audits, manage responses to payor and DME MAC documentation requests, and strengthen audit readiness as the company grows. In partnership with the RCM team, the coder will investigate denials and write-offs, identify root causes, and improve upstream processes to reduce coding-driven denials. This is a fully remote role open to candidates anywhere in the United States. Candidates in New York City may use the Chelsea office, but onsite work is not expected.

Requirements

Active CPC (AAPC) or CCS (AHIMA) certification.
At least 3 years of coding or billing experience specifically in DMEPOS.
Fluency in HCPCS Level II and DME modifiers, including KX, GA, GY, GZ, RR, NU, UE, RT, and LT, as well as supporting ICD-10-CM coding.
Knowledge of DME MAC LCDs and policy articles, standard written order and proof-of-delivery rules, capped rental schedules, state Medicaid DME manuals, and commercial medical policies.
Hands-on denials and appeals experience, including distinguishing coding, documentation, and contract issues and writing appeals.
Strong spreadsheet skills and comfort with data and systems.
Comfort with ambiguity, speed, and building processes where they do not yet exist.

Nice To Haves

CPMA, CPCO, or a DME-specific certification.
Experience pulling independent reports.

Responsibilities

Own HCPCS Level II, DME modifier, and ICD-10-CM selection across the company’s DME catalog.
Conduct internal chart audits and maintain audit readiness.
Lead responses to payor and DME MAC documentation requests.
Work with the RCM team to trace denials and write-offs to root causes and improve upstream processes.
Develop and document SOPs, criteria matrices, and training materials.