Administrative Claims Coder-1

Job Type: Contract

Job Category: Nursing

Job Description

Job Title:

Administrative Claims Coder

📄 Job Description:

We are seeking a detail-oriented and experienced Administrative Claims Coder to join our healthcare administrative team. In this role, you will be responsible for accurately reviewing, interpreting, and coding medical documentation for insurance claims using standard classification systems (e.g., ICD-10, CPT, HCPCS).

Your expertise in medical coding and knowledge of healthcare billing policies will ensure accurate and timely claims submission and reimbursement. You will also assist in resolving coding-related denials and support compliance with federal and state regulations.

🛠 Key Responsibilities:

Review and analyze patient medical records and documentation to assign appropriate diagnosis and procedure codes
Ensure coding accuracy in compliance with official coding guidelines and payer-specific requirements
Prepare and submit medical claims to insurance companies
Investigate and resolve coding-related denials or rejections
Collaborate with clinical staff to clarify documentation for accurate code assignment
Maintain current knowledge of coding updates and regulatory changes
Support audits and internal compliance efforts

✅ Qualifications:

Certified Professional Coder (CPC), CCS, or equivalent required
2+ years of experience in medical coding, preferably in a claims or administrative role
Strong knowledge of ICD-10, CPT, and HCPCS coding systems
Familiarity with insurance billing procedures and claim lifecycle
Excellent attention to detail and organizational skills
Proficiency with EMR and coding software systems

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Required Skills

Registered Nurse

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