Senior Certified Medical Coder, Claims

The Jonus Group•Woodbridge Township, NJ

3d•$50,000 - $60,000

About The Position

We are seeking a detail-oriented and experienced Senior Certified Medical Coder to join our client's Claims team. This dual-role position is responsible for ensuring accurate medical coding and efficient claims processing to support timely reimbursement and regulatory compliance. The ideal candidate will have a strong background in medical coding, claims adjudication, and healthcare administration.

Requirements

Associate’s or Bachelor’s degree in Health Information Management, Healthcare Administration, or related field.
CPC, CCS, or equivalent medical coding certification required.
Minimum 5 years of experience in medical coding and claims processing, preferably in a senior or lead role.
Strong knowledge of medical terminology, anatomy, and healthcare reimbursement systems.
Proficiency with EHR systems and claims management software (e.g., Epic, Cerner, Availity).
Excellent analytical, organizational, and communication skills.

Responsibilities

Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes.
Submit, track, and follow up on insurance claims to ensure timely and accurate reimbursement.
Investigate and resolve claim denials, discrepancies, and appeals.
Collaborate with providers, billing staff, and insurance companies to clarify documentation and coding issues.
Maintain up-to-date knowledge of payer policies, coding guidelines, and regulatory changes.
Generate reports on claims status, coding accuracy, and reimbursement trends.
Mentor junior staff and assist with training on coding and claims procedures.