Certified Medical Coder

This is a fully remote position, open to applicants in Arizona, +6 more states.

📋 Description

• Execute precise, compliant, and timely coding for professional and facility pain management services.

• Assist in interventional pain evaluation and management, rehabilitation services, and ancillary procedures.

• Assess coding-related holds for Boomerang Health Care facilities to ensure adherence to documentation standards and proper reimbursement.

• Allocate CPT, HCPCS, and ICD-10 codes for services rendered at BHC facilities.

• Utilize appropriate modifiers based on payer and service specifications.

• Confirm that documentation substantiates medical necessity, procedural complexity, and service levels.

• Implement correct diagnosis sequencing and body-part specificity for workers’ compensation claims.

• Uphold workers’ compensation documentation standards, including injury dates, causality, and treating physician narratives.

• Partner with billing teams on claim formats, attachments, and workers’ compensation payer regulations.

• Ensure adherence to CMS, AMA, NCCI, and OIG guidelines.

• Engage in internal and external coding audits and execute necessary corrective measures.

• Recognize coding trends that may influence denials, underpayments, or compliance risks.

• Provide constructive feedback and education to providers to enhance documentation and coding accuracy.

• Take on additional responsibilities as needed for the role and organizational objectives.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• An associate degree is preferred.

• Valid coding certification is required: CPC, CCS, or equivalent (AAPC or AHIMA).

• A minimum of 3-5 years of medical coding experience in pain management and workers’ compensation billing is required.

• Proven experience with FRP or multidisciplinary rehabilitation models as well as Commercial and Medicare pain management coding.

• Capability to thrive in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams.

• Familiarity with multiple EHR/Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar).

• Basic knowledge of NCCI edits and payer-specific billing guidelines.

• Strong accuracy and attention to detail, along with analytical thinking and problem-solving skills, and a high level of integrity and compliance focus.

• Advanced expertise in Microsoft Excel (e.g., formulas, pivot tables) and solid proficiency in other Microsoft Office applications.

• Must be available Monday through Friday, from 8 am to 5 pm.

• Required to work 40 hours per week.

🏝️ Benefits

• Excellent work/life balance.

• Comprehensive Medical, Dental, Vision, and Prescription benefits (PPO & HMO).

• 401(K) Plan with Employer Matching.

• License & Tuition Reimbursement programs.

• Paid Time Off.

• Holiday Pay & Floating Holidays.

• Employee Perks and Discount Programs.

• A supportive environment to foster your growth and success.