Certified Coder

This position is full-time and will work 40-hours per week. It is full-time benefit eligible.

Remote and/or hybrid can be an option after 6-months of on-site training.

Coder Certified

Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health—they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.

Job Summary
The Certified Coder is responsible for accurately translating medical records and patient services into standardized numerical codes for billing and reimbursement purposes. This role ensures compliance with federal, state, and organizational regulations, while maintaining the highest standards of patient confidentiality. The Certified Coder works independently and collaboratively to support the revenue cycle and overall operational efficiency of the healthcare organization.

What you will do

• Review and analyze patient medical records, physician notes, and other documentation to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure accurate coding for diagnosis, procedures, and services for proper reimbursement.
• Review denials and appeal with supporting documentation/comments for reimbursement. In addition, educate departments on correct coding initiatives based on charge review and denials from specific payers.
• Stay current on coding regulations, guidelines, and updates, including compliance with Medicare, Medicaid, and other payer requirements.
• Collaborate with healthcare providers, billing staff, and administrative teams to clarify documentation discrepancies and support accurate claims submission.
• Assist with audits, quality assurance, and reporting activities related to coding accuracy and compliance.
• Participate in ongoing professional development, including coding seminars, workshops, and technical courses, to maintain and enhance coding knowledge and proficiency.

Education Qualifications

• High School Diploma and/or GED Required

Experience Qualifications

• 1-3 years experience in a medical office or healthcare setting Required

Skills and Abilities

• Knowledge of medical terminology, anatomy, physiology, ICD-10, CPT, and HCPCS coding systems.
• Strong analytical skills with attention to detail and accuracy.
• Ability to work independently and efficiently in a fast-paced environment.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Effective verbal and written communication skills to interact with healthcare providers and administrative staff.
• Proficiency with computer applications and electronic health record (EHR) systems.
• Commitment to confidentiality, professionalism, and being a collaborative team member

Licenses and Certifications

• CPC (Certified Professional Coder) accreditation by AAPC Upon Hire Required

Physical Demands

• Sit - Constantly
• Stand - Occasionally
• Walk - Occasionally
• Drive - Rarely
• Climb (Stairs/Ladders) - Rarely
• Bend (Neck) - Constantly
• Gross Manipulation (Hands/Arms) - Rarely
• Squat - Rarely
• Kneel/Crawl - Rarely
• Twist/Turn (Neck) - Frequently
• Twist/Turn(Waist) - Rarely
• Lift/Carry 0-10 lbs. - Occasionally
• Lift/Carry 11-25 lbs. - Rarely
• Push/Pull up to 10 lbs. - Rarely
• Push/Pull 11-25 lbs. - Rarely
• Reach (Above shoulder level) - Occasionally
• Reach (Below shoulder level) - Constantly
• Simple Grasping (Hands/Arms) - Constantly
• Fine Manipulation (Hands/Arms) - Constantly
• Gross Manipulation (Hands/Arms) - Constantly

Working Conditions

• Noise - Occasionally

Travel Requirements

• 5%

Hearing Requirements

• Hears Whispers < 3 feet - Constantly
• Hears Whispers 3-8 feet - Constantly

Vision Requirements

• Color Discrimination - Constantly
• Near Vision (Correctable to Jaeger 2 or 20/40 binocular) - Constantly
• Distance Vision (Correctable to Snellen chart 20/40 binocular) - Constantly

Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify