Medical Coder

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $21 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 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 current coding guidelines and regulatory requirements • Apply coding standards and payer-specific requirements to ensure 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 • Remain current with annual and interim changes to ICD-10-CM, CPT, HCPCS, CMS, AMA, and other regulatory coding updates • Ensure compliance with federal, state, accreditation, privacy, and organizational requirements, including HIPAA • Identify and refer potential fraud, waste, abuse, or questionable billing practices to appropriate matrix partners • Meet individual and team 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 feedback regarding coding trends, documentation concerns, and reimbursement issues to leadership • 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 in a timely manner • 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 with a focus 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 • Knowledge of payment integrity, claim review, fraud, waste, and abuse identification • Internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload when working at home • Certified Evaluation and Management Coder (CEMC) certification a plus • Emergency Department coding experience a plus

🏖️ 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 from home • Cable broadband or fiber optic internet requirement for home working