EverHealth - Medical Coder (Remote, US)

EverCommerce (Nasdaq: EVCM) is a leading service commerce platform, providing vertically-tailored, integrated SaaS solutions that help more than 745,000 global service-based businesses accelerate growth, streamline operations, and increase retention. Its modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals. With its EverPro, EverHealth, and EverWell brands specializing in Home, Health, and Wellness service industries, EverCommerce provides end-to-end business management software, embedded payment acceptance, marketing technology, and customer experience applications. We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here: Job Description The Certified Medical Coder is responsible for reviewing patient medical records and assigning accurate diagnosis and procedure codes for physician and facility services. This position ensures compliance with federal regulations, payer requirements, and coding guidelines while supporting timely claim submission, reimbursement accuracy, and overall revenue cycle performance. The Certified Medical Coder works closely with providers, billing staff, and other revenue cycle team members to maintain coding accuracy and reduce claim denials. Essential Duties and Responsibilities • Review medical records, provider documentation, and encounter forms to determine appropriate diagnosis and procedure codes. • Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes based on documentation and coding guidelines. • Ensure coding compliance with CMS, Medicare, Medicaid, commercial payers, and regulatory agencies. • Audit medical records for completeness, accuracy, and documentation deficiencies. • Communicate with providers regarding coding clarification requests and documentation improvement opportunities. • Identify and resolve coding-related claim denials and rejections. • Maintain productivity and quality standards established by the organization. • Stay current with coding updates, payer policies, and industry regulations. • Assist with internal coding audits and compliance reviews. • Collaborate with billing, collections, and revenue cycle teams to support reimbursement optimization. • Participate in ongoing education and training related to coding and compliance. • Maintain confidentiality of patient information in accordance with HIPAA regulations. Required Qualifications • High school diploma or equivalent required. • Completion of an accredited medical coding program preferred. • Current medical coding certification required. • Minimum of 1-2 years of coding experience preferred. • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems. • Understanding of medical terminology, anatomy, physiology, and healthcare reimbursement methodologies. • Knowledge of payer guidelines, claim processing, and revenue cycle management. • Proficiency in Electronic Health Records (EHR) and practice management systems. • Strong analytical, problem-solving, and attention-to-detail skills. Preferred Qualifications • Associate's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field. • Experience coding specialty services such as family practice, urgent care, behavioral health, orthopedics, cardiology, or surgical specialties. • Prior experience with coding audits and denial management. Key Competencies • Accuracy and attention to detail • Critical thinking and analytical skills • Time management and productivity • Knowledge of healthcare regulations • Communication and collaboration • Compliance and ethical decision-making • Problem-solving abilities Physical Requirements • Prolonged periods of sitting and computer work. • Ability to review electronic medical records and coding documentation for extended periods. • Ability to work independently in an office or remote environment. Medical Coding Certifications The following certifications are commonly recognized and align with medical coding positions: AAPC Certifications Certified Professional Coder (CPC) • Most widely recognized physician-based coding certification. • Focuses on outpatient and professional-fee coding. Certified Outpatient Coder (COC) • Designed for hospital outpatient and facility coding. Certified Inpatient Coder (CIC) • Focuses on inpatient hospital coding. Certified Risk Adjustment Coder (CRC) • Specializes in Hierarchical Condition Category (HCC) and risk adjustment coding. AHIMA Certifications Certified Coding Associate (CCA) • Entry-level certification for coders beginning their careers. Certified Coding Specialist (CCS) • Advanced certification focusing on hospital inpatient and outpatient coding. Certified Coding Specialist - Physician-based (CCS-P) • Advanced certification for physician-office and out...