Medical Coding Implementation Engineer

🔥 1 minute ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $100k - $120k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

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Commence

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🏛️ Government

🤖 Artificial Intelligence

Healthcare • Government • Artificial Intelligence

Commence is a healthcare data and technology company that delivers data-centered solutions to make health data more accessible, discoverable, and interoperable. The company pairs clinical expertise with AI-driven data transformation and a technology platform to address fraud, waste & abuse, independent dispute resolution, peer and independent reviews, quality improvement, and patient advocacy. Commence serves federal health agencies (CMS, VA, Defense Health Agency), state & local government programs, and commercial health customers, focusing on improving outcomes, accuracy, and program integrity.

📋 Description

• Deploy the coding platform alongside customers from source data through production coding output • Map EHR, scheduling, billing, and document repository data into the platform ingestion model • Define inbound and outbound interface requirements with customer IT and revenue cycle teams • Write and validate SQL to confirm data completeness, diagnose mapping defects, and build reconciliation queries • Configure coding logic for procedure catalogs, specialty mixes, modifier conventions, documentation patterns, and payer requirements • Run side-by-side validation comparing platform output with customer coder output • Root-cause discrepancies and drive remediation through closure before go-live • Own gap remediation through go-live and the stabilization window • Escalate platform defects to product engineering with reproducible cases and supporting data • Operate in AWS and customer-segregated environments • Maintain customer configuration, mapping definitions, and coding rules in Git through branch and review processes • Read Java rule and integration components and make small changes under Engineering review • Serve as the customer's day-to-day technical point of contact during implementation • Translate between clinical, revenue cycle, and engineering stakeholders • Contribute runbooks, reusable configuration patterns, and validation tooling

🎯 Requirements

• 3+ years implementing, configuring, or supporting healthcare software at provider organizations, or 3+ years in revenue cycle, HIM, or coding operations with hands-on system configuration responsibility • Working knowledge of medical coding, including CPT, ICD-10-CM and PCS, modifier application, NCCI edits, and operative note documentation • Proficiency in SQL, including joins, aggregation, subqueries, and window functions • Hands-on AWS experience, including S3, RDS, EC2, CloudWatch, and IAM • Git experience with branching, pull requests, and code review • Ability to read Java and make small, bounded changes to existing components • Demonstrated pattern recognition for identifying systematic causes in discrepancy reports • Detail orientation with evidence of handling financially, clinically, or compliantly consequential errors • Ability to communicate technically with engineers and commercially with clinical and revenue cycle leadership • Bachelor's degree, or four additional years of relevant experience in place of a degree

🏖️ Benefits

• Remote work • Reasonable accommodations for individuals with disabilities • Equal employment opportunity

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