Medical Coder

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Alaska, +16 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ☕ Washington – Remote

💵 $21 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Accurately assign E/M, ICD-10-CM, CPT, HCPCS, modifiers, and quantities based on medical record documentation for Emergency Department facility and professional fee encounters • Review clinical documentation to ensure code assignment is supported and compliant with coding guidelines and regulatory requirements • Apply coding standards and payer-specific requirements for accurate reimbursement and claim adjudication • Maintain proficiency in Emergency Department coding concepts, documentation requirements, and reimbursement methodologies • Adhere to quality assurance standards and coding accuracy requirements • Stay current with ICD-10-CM, CPT, HCPCS, CMS, AMA, and other regulatory coding updates • Ensure compliance with federal, state, accreditation, privacy, organizational, and HIPAA requirements • Identify and refer potential fraud, waste, abuse, or questionable billing practices • Meet productivity, quality, and turnaround-time expectations • Manage multiple assignments and competing priorities while maintaining accuracy and compliance • Support continuous improvement initiatives related to coding quality, workflow efficiency, and regulatory compliance • Provide leadership with feedback on coding trends, documentation concerns, and reimbursement issues • Serve as a coding resource and subject matter expert for peers, leaders, and cross-functional partners • Assist with escalated coding reviews, problem resolution, and complex coding scenarios • Communicate coding updates, trends, regulatory changes, and identified risks to leadership • Advise management of concerns raised by healthcare professionals, providers, or business partners • Demonstrate professionalism, collaboration, and effective communication in internal and external interactions

🎯 Requirements

• High School Diploma or GED required • Minimum of three (3) years of medical coding experience focused on Evaluation and Management (E/M) coding, or equivalent experience in Payment Integrity, claim review, audit, or healthcare reimbursement operations • Current coding certification required: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P) • Strong knowledge of ICD-10-CM, CPT, HCPCS, and E/M coding guidelines • Knowledge of healthcare reimbursement methodologies and payer requirements • Excellent analytical, organizational, and problem-solving skills • Strong written and verbal communication skills • Proficiency with electronic medical records, coding applications, and Microsoft Office products • Ability to work independently and collaboratively in a fast-paced environment • Certified Evaluation and Management Coder (CEMC) certification a plus • Emergency Department coding experience a plus • Knowledge of payment integrity, claim review, and fraud, waste, and abuse identification • If working from home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work arrangement • Cable broadband or fiber optic internet service requirement with at least 10Mbps download/5Mbps upload for home working