Medical Coder

CHC • Everett, WA

6d • Remote

About The Position

The Medical Coder is responsible for day-to-day coding and billing operations for services billable under grants and federal, state, and county programs, including Medicare, Medicaid managed care, and private insurance. The role reviews service documentation, assigns and validates appropriate diagnosis and procedure codes, and helps ensure accurate, ethical coding and billing in accordance with applicable guidelines and policies.

The position is eligible for remote work after required onsite training is completed. Candidates must reside in Washington State to participate in training and attend occasional in-person meetings as needed.

Requirements

• High school graduate or equivalent.
• Two years of experience working in healthcare as a production coder.
• Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC), or Coding Specialist (CCS) certification from the American Health Information Management Association (AHIMA).
• Proficient in reading, speaking, understanding, and writing English.
• Effective oral and written communication skills.
• Professional and effective representation of the organization to the community.
• Ability to remain calm and effective in high-pressure and emergency situations.
• Ability to work with initiative, energy, and effectiveness in a fast-paced environment and produce a high quantity and quality of work.
• Creative and resourceful problem-solving ability.
• Knowledge of medical terminology, HIPAA regulations, and compliance.
• Ability to make decisions regarding sensitive information.
• Comprehensive knowledge and understanding of medical coding.
• Proficiency with Microsoft Office applications, including Word, Excel, and Outlook.
• Must reside in Washington State to participate in onsite training and attend occasional in-person meetings as needed.

Nice To Haves

• Bilingual skills.
• Familiarity with Federally Qualified Health Centers.
• Experience working in a not-for-profit organization.
• Experience working with low-income, multi-ethnic populations.
• Experience working with NextGen.

Responsibilities

• Review and adjudicate coding of services from documentation in a timely manner.
• Maintain physician/provider visit procedure codes and notes to identify appropriate ICD-10 and CPT codes for charge processing.
• Ensure diagnosis ICD-10 codes, procedure CPT codes, and HCPCS codes are identified, sequenced, and coded accurately and ethically for optimized reimbursement.
• Assign Evaluation and Management codes and identify key concepts and elements documented in patient notes, using applicable coding guidelines and professional and technical standards.
• Research correct codes for routine, new, or unusual diagnoses and procedures not clearly listed in ICD-10 and CPT guidelines or position functions.
• Identify procedures that may require modifiers, including 340B modifiers, for billing and reporting.
• Consult with providers to clarify clinical data when information is conflicting or ambiguous, or significant documentation is missing.
• Track cases with insufficient documentation and ensure they are appropriately coded and billed.
• Ensure documentation adheres to federal, state, and county billing policies.
• Meet attendance standards to support daily operations and continuity of patient care.

Benefits

• Health insurance, including medical, dental, and vision coverage.
• Up to 120 hours of vacation time every 12 months, prorated by FTE.
• Paid sick leave.
• 10 paid holidays.
• 403(b) Safe Harbor retirement plan with employer match.
• Disability insurance.
• Life insurance.
• Additional $0.75 per hour for employees who test proficiently in a second language.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED