Medical Coding Implementation Engineer

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Implement the coding platform in collaboration with customers, starting from source data to final production coding output.

• Integrate EHR, scheduling, billing, and document repository data into the platform's ingestion model.

• Establish inbound and outbound interface requirements in coordination with customer IT and revenue cycle teams.

• Write and validate SQL queries to ensure data integrity, identify mapping errors, and develop reconciliation queries.

• Set up coding logic for procedure catalogs, specialty mixes, modifier conventions, documentation patterns, and payer specifications.

• Conduct side-by-side validation to compare platform output with the output from customer coders.

• Identify root causes of discrepancies and facilitate resolution prior to go-live.

• Manage gap remediation through the go-live phase and the stabilization period.

• Report platform defects to product engineering with reproducible cases and necessary data.

• Work within AWS and customer-specific environments.

• Maintain customer configurations, mapping definitions, and coding rules in Git using branching and review protocols.

• Review Java rule and integration components and implement minor modifications under Engineering oversight.

• Act as the primary technical contact for customers throughout the implementation process.

• Bridge communication between clinical, revenue cycle, and engineering stakeholders.

• Contribute to runbooks, reusable configuration patterns, and validation tools.

⛳️ Requirements

• Minimum of 3 years experience in implementing, configuring, or supporting healthcare software in provider organizations, or 3 years in revenue cycle, HIM, or coding operations with direct system configuration responsibilities.

• Solid understanding of medical coding, including CPT, ICD-10-CM and PCS, modifier application, NCCI edits, and operative note documentation.

• Strong proficiency in SQL, including joins, aggregation, subqueries, and window functions.

• Practical experience with AWS services such as S3, RDS, EC2, CloudWatch, and IAM.

• Experience with Git, including branching, pull requests, and code reviews.

• Capability to read Java and make minor, controlled changes to existing components.

• Proven ability to recognize patterns to identify systematic issues in discrepancy reports.

• Attention to detail, with a track record of managing errors that have financial, clinical, or compliance implications.

• Ability to communicate effectively with both technical engineers and clinical/revenue cycle leadership.

• Bachelor’s degree, or an equivalent of four additional years of relevant experience in lieu of a degree.

🏝️ Benefits

• Opportunity for remote work.

• Reasonable accommodations available for individuals with disabilities.

• Commitment to equal employment opportunity.