Innovaccer Analytics

Healthcare data platform for outcomes optimization

Medical Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeRemote in USANo salary listedRemote

About the Job

Requirements

Hold a current AAPC or AHIMA Coding Certification for a minimum of 3 years.
Have a minimum of 3 years of professional coding experience.
Have strong working knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
Have prior experience reviewing front-end coding errors before submitting claims to insurance.
Have prior experience reviewing and correcting coding from insurance denials.
Have prior experience submitting corrected claims and appeals.
Have prior experience with insurance guidelines and explanation of benefits (EOBs).
Be familiar with proper English grammar, usage, and professional documentation standards.
Be able to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
Be able to read, interpret, and apply policies, procedures, laws, and regulations.
Be able to accurately read and interpret medical documentation, clinical terminology, and documented procedures.
Demonstrate the ability to exercise independent judgment in coding and claim resolution.
Have excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff.
Maintain confidentiality and safeguard protected health information.
Have prior experience working in a medical billing environment with strict adherence to Health Insurance Portability and Accountability Act (HIPAA) compliance requirements.
Demonstrate proficiency in Microsoft Office Suite, including Word, Excel, Outlook, and Teams.

Responsibilities

Review, analyze, and resolve assigned front-end scrubs and denied claims to ensure accurate and timely claim payment.
Identify and correct coding-related issues before claim submission, resubmit corrected claims or appeal denied claims, and apply established coding guidelines, payer requirements, and organizational policies.
Average 10 front-end holds or denials per hour.
Review coding and resubmit corrected claims to insurance.
Create appeal letters and forms with medical documentation.
Maintain a minimum of 92% coding accuracy.
Assign ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
Review medical records and applicable documentation to determine appropriate codes for documented services and diagnoses.
Ensure all diagnosis codes meet local and national medical necessity guidelines.
Use internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for assigned services.
Follow HIPAA regulations and uphold privacy and confidentiality standards.
Maintain current knowledge of laws, regulations, payer policies, and industry guidance that affect compliant coding practices.
Independently review and resolve assigned front-end claim holds.
Participate in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
Escalate identified client trends to the assigned Coding Manager.
Escalate coding-related questions to the assigned Coding Manager for guidance and clarification.
Maintain and complete all continuing education unit (CEU) requirements.
Perform other duties or tasks as assigned.

4672-Medical Coder

Innovaccer Analytics · United States (Remote) · Full-time · Posted 2026-10-23

Workplace: remote

Department: Customer Success

Description

About the Role

The Coding Specialist is responsible for independently reviewing, analyzing, and resolving all assigned front-end scrubs and denied claims to ensure accurate and timely claim payment. This position focuses on identifying and correcting coding-related issues prior to claim submission, resubmitting corrected claims or appealing denied claims, applying established coding guidelines, payer requirements, and organizational policies. The Coding Specialist works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.

A Day in the Life

Averages 10 front-end holds/denials per hour
Reviews coding and resubmits corrected claims to insurance
Creates appeal letters/forms with medical documentation
Maintains a minimum of 92% coding accuracy.
Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment.
Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses.
Ensures all diagnosis codes meet local and national medical necessity guidelines.
Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services.
Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality.
Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
Independently reviews and resolves all assigned front-end claim holds.
Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
Escalates identified client trends to the assigned Coding Manager.
Escalates all coding-related questions to the assigned Coding manager for guidance and clarification.
Maintains and completes all CEU requirements.
Performs other duties or tasks as assigned

What You Need

Must hold a current AAPC or AHIMA Coding Certification for a minimum of 3 years.
Minimum of 3+ years of professional coding experience.
Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
Prior experience in reviewing front end coding errors before submitting to insurance
Prior experience in reviewing and correcting coding from insurance denials.
Prior experience in submitting corrected claims and appeals.
Prior experience with insurance guidelines and EOBs.
Familiarity with proper English grammar, usage, and professional documentation standards.
Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
Ability to read, interpret, and apply policies, procedures, laws, and regulations.
Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures.
Demonstrated ability to exercise independent judgment in coding and claim resolution.
Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff.
Strong commitment to maintaining confidentiality and safeguarding protected health information.
Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements.
Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams).

We offer competitive benefits to set you up for success in and outside of work.

Here’s What We Offer

Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.

For any additional information, please visit the below websites:

E-Verify

Right to Work (English)

Right to Work (Spanish)

Disclaimer:

Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at [email protected]. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

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About the Company

Innovaccer Analytics

Healthcare data platform for outcomes optimization

Innovaccer Analytics provides a Health Cloud platform that integrates and analyzes healthcare data for providers and pharmaceutical partners. The platform aggregates diverse data, applies care-management workflows, and delivers actionable insights to improve transitional care, lower 30‑day readmissions, and support primary-care services. It differentiates itself with demonstrated outcomes and strong customer-experience ratings, including measurable value for clients. Its goal is to improve patient health outcomes and financial performance by delivering scalable data integration and analytics across the healthcare ecosystem.

Company size: 1,001-5,000
Company stage: Private
Total funding: $653.1M
Headquarters: San Francisco, CA
Founded: 2012

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