Certified Medical Coder; Work from Home

Job Description

Position Summary The Certified Medical Coder reviews clinical documentation and assigns medical codes in accordance with established guidelines, documentation standards, and organizational procedures. This individual contributor role supports compliant billing, accurate revenue cycle outcomes, and timely resolution of documentation issues through appropriate escalation.

Qualifications Required Active  professional coding certification (e.g., CPC, CCS, equivalent)
Working knowledge of medical coding guidelines and documentation standards

Preferred

Prior experience in medical coding or revenue cycle operations

Familiarity with EHR and coding systems

Key Responsibilities and Expected Performance Outcomes

Key Responsibilities Review assigned encounters and clinical documentation each day to support complete, accurate coding.

Assign medical codes in accordance with current coding guidelines, documentation standards, and organizational procedures.

Validate documentation before coding to identify missing, unclear, or conflicting information.

Apply coding standards consistently and avoid unsupported assumptions, informal interpretations, or workarounds.

Escalate documentation gaps, guideline conflicts, compliance concerns, or scenarios outside defined authority to Team Leads or Supervisors with relevant facts and documentation references.

Maintain accurate coding records and supporting documentation for assigned work.

Use assigned EHR, coding, and workflow systems to complete coding tasks and document work activity.

Communicate workload status, risks, and questions clearly to Team Leads or Supervisors.

Participate in coding updates, training, and feedback to stay aligned with current standards and process expectations.

Expected Performance Outcomes Support clean, compliant claims by producing accurate coding with minimal rework.

Improve revenue cycle reliability by applying coding standards consistently across assigned encounters.

Reduce operational risk by identifying documentation gaps, ambiguities, conflicts, or compliance concerns before they create downstream rework.

Protect coding quality and workflow stability by prioritizing accuracy, documented guidance, and timely escalation over unsupported shortcuts.

Core Competencies (Required for All Employees)
Critical Thinking:
Applies judgment to routine coding scenarios using established guidance and recognizes when escalation is required

Dependability:
Consistently meets accuracy and timeliness expectations while working within defined authority

Interpersonal

Skills:

Communicates clearly, professionally, and with appropriate context when surfacing risks or questions

Organizing & Planning:
Manages assigned workload effectively and prioritizes accuracy over unsupported speed tradeoffs

Production:
Produces accurate, compliant coding without reliance on rework, informal fixes, or heroics