Medical Coder - Wound Care

Pinnacle Wound Management-posted 4 days ago
Full-time • Mid Level
Gainesville, GA
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Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities.

  • Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements
  • Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth
  • Release daily coding batches to support timely revenue cycle processing
  • Code red-label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details
  • Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials
  • Generate detailed coding reports and batch logs for submission to the Director of Operations
  • Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance
  • Monitor payer and CMS updates impacting wound care coding, documentation, and compliance
  • Maintain coding accuracy, productivity standards, and adherence to compliance regulations
  • Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent
  • Minimum 2 years of experience in medical coding; wound care or long-term care experience highly preferred
  • Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines
  • Ability to code directly from clinical notes/documentation without superbill support
  • Proficient in generating coding reports, logs, and error correction documentation
  • Detail-oriented with excellent organizational skills and ability to manage coding batches daily
  • Comfortable working independently with minimal supervision
  • Experience coding cellular tissue/red-label products a plus
  • Competitive compensation package
  • Opportunity to specialize in wound care and advanced procedures in the long-term care space
  • Supportive team environment focused on compliance and patient-centered outcomes
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