Revenue Cycle Medical Coder

Revenue Cycle Medical Coder at Kintegra Health

Job Information

• Title:
  
  Medical Coder
• Department:
  Business Office
• Status:
  Hourly
• Position Classification/Category:
  Business Services
• Location:
  
  Hybrid Remote
• Reports To:
  
  Revenue Cycle Supervisor
• Direct Reports:
  None

Position Summary

The Medical Coder is responsible for reviewing clinical documentation from Primary Care Physicians and assigning accurate ICD-10-CM, CPT, and HCPCS codes for evaluation, management, and procedural services. This role ensures compliance with federal coding guidelines, payer requirements, risk-adjustment standards (HCC), and supports accurate reimbursement and quality reporting for the primary care practice.

Key Responsibilities

Review encounter notes, progress notes, labs, diagnostic results, and treatment plans from Primary Care Physicians. Assign appropriate ICD-10, CPT, HCPCS, and modifier codes for preventive visits (Wellness/Annual Exams), chronic disease management, acute care visits, telehealth and same-day services, in-office procedures, validate medical necessity, and ensure documentation supports coded services.

Adhere to official coding guidelines, CMS regulations, and payer-specific rules. Ensure compliance with Medicare, Medicaid, and commercial payer requirements. Safeguard patient privacy and maintain HIPAA compliance. Conduct internal audits and participate in external audit responses.

Collaborate with billing staff to correct claim denials related to coding. Identify coding trends that impact reimbursement or compliance. Support accurate HCC risk-adjustment capture and quality program documentation (e.g., MIPS). Assist in process improvement for documentation accuracy and clean claim rates.

Provide feedback to Primary Care Physicians regarding documentation gaps and coding best practices. Conduct periodic provider training sessions on updated coding rules and medical documentation. Serve as a resource for clinical and administrative staff on coding questions. Perform other duties as assigned by Manager.

Qualifications

• Experience:
  
  At least 2‑3 years of Medical Coding experience with Primary Care Physician Coding (preferred FQHC experience).
• Education:
  
  High school diploma or GED.
• Certification: CPC, CCS, CCS‑P, or equivalent through AAPC or AHIMA.