Coding Specialist – I

Innovaccer

. Independently review, analyze, and resolve assigned front-end claims for accurate and timely submission .

Posted 10/14/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT and ICD-10-CM coding, ensuring compliance with medical necessity guidelines and HIPAA regulations. Proficient in analyzing medical documentation and resolving coding issues while maintaining high accuracy and confidentiality standards.

Highest-signal resume keywords

AAPC CertificationAHIMA CertificationCPT CodingICD-10-CM CodingMedical Billing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10-CM CodingMedical TerminologyAnatomy and PhysiologyCoding AccuracyData AnalysisPolicy InterpretationClaim ResolutionDocumentation StandardsHIPAA Compliance

Soft Skills

Excellent Communication SkillsIndependent JudgmentCollaborative Working RelationshipsAttention to DetailProblem-Solving

Tools & Technologies

Microsoft Office SuiteWordExcelOutlookTeams

Certifications & Qualifications

AAPC CertificationAHIMA Certification

Industry Keywords

Medical BillingPayer GuidelinesMedical Necessity GuidelinesConfidentialityCEU Requirements

About the role

Key responsibilities & impact

Independently review, analyze, and resolve assigned front-end claims for accurate and timely submission
Average 10 front-end holds per hour
Maintain a minimum of 90% coding accuracy
Assign ICD-10-CM and CPT codes with appropriate modifiers in the professional fee environment
Review medical records and documentation to determine appropriate service and diagnosis codes
Ensure diagnosis codes meet local and national medical necessity guidelines
Use internal coding resources, payer guidelines, and reference materials for accurate, compliant coding
Follow HIPAA regulations and protect privacy and confidentiality
Maintain current knowledge of laws, regulations, payer policies, and industry guidance
Participate in department, one-on-one, and mentorship meetings with the assigned Coding Team Lead
Escalate client trends and coding-related questions to the assigned Coding Team Lead
Maintain and complete CEU requirements
Perform other assigned duties

Requirements

What you’ll need

Must hold a current AAPC or AHIMA Certification for a minimum of 3 years
Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines
Familiarity with proper English grammar, usage, and professional documentation standards
Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues
Ability to read, interpret, and apply policies, procedures, laws, and regulations
Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures
Demonstrated ability to exercise independent judgment in coding and claim resolution
Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff
Strong commitment to maintaining confidentiality and safeguarding protected health information
Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)
Minimum of 3+ years of professional coding experience

Benefits

Comp & perks

20 days of fixed time off per year, in addition to company holidays
Generous parental leave
Monetary incentives and company-wide recognition for impact and dedication
Medical, dental, and vision insurance
100% company-paid short- and long-term disability insurance
100% company-paid basic life insurance
Discounted legal aid
Pet insurance