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Hearst

Global media and information services conglomerate

Medical Coder Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeCarmel, IN, USA$47k - $57k

About the Job

Requirements

  • Research devices, categories, and HCPCS codes to develop a library.
  • Communicate coding issues clearly with peers, orally and in writing.
  • Multitask and prioritize tasks.
  • Demonstrate attention to detail and strong organizational skills.
  • Know medical terminology and coding.
  • Use web-based and computer applications and work effectively with peers.
  • Take initiative in performing additional tasks.
  • Use approved AI tools, including ChatGPT Projects and Custom GPTs, to support medical device coding research, HCPCS data analysis, content validation, audit review, and workflow efficiency.
  • Develop structured prompts and reusable AI-assisted workflows to compare source data, identify inconsistencies, summarize research findings, and support coding-related decision making.
  • Validate AI-generated outputs against credible sources, official coding guidance, internal standards, and professional judgment; comply with data privacy, company security policies, ethical coding standards, and appropriate human oversight when using AI tools.
  • Have a minimum of 2–3 years of medical coding experience in a healthcare setting, including outpatient clinics, ambulatory surgical centers, home health, or Durable Medical Equipment settings.
  • Have experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes.
  • Have experience reviewing or resolving Medicare and Medicaid claim denials involving medical necessity, unlisted HCPCS codes, or Medically Unlikely Edits.
  • Have experience researching and applying Medicare Local Coverage Determinations and National Coverage Determinations.
  • Hold an active coding certification from AAPC or AHIMA; relevant credentials include Certified Professional Coder, Certified Outpatient Coder, or Certified Coding Specialist.

Responsibilities

  • Research information from sources such as manufacturers and CMS to assign HCPCS codes to medical device content.
  • Update and maintain the HCPCS library through detailed research.
  • Use research to develop and maintain HCPCS mapping and the wizard.
  • Provide training to staff members.
  • Ensure the accuracy of codes applied to devices through data audits, validations, and reviews.
  • Update HCPCS codes when GMDN or UNSPSC categories change.
  • Evaluate the current categorization schema and provide feedback and training to categorization staff.
  • Evaluate medical device content to ensure HCPCS mappings are accurate.
  • Follow up with manufacturers when code assignments are not straightforward or data is inadequate, ambiguous, or unclear for coding purposes.
  • Apply CMS updates to data in a timely manner using maintenance tools.
  • Ensure codes are current and active.
  • Research complex or unusual coding cases.
  • Follow the Standards of Ethical Coding set forth by the American Health Information Management Association and adhere to official coding guidelines.
  • Stay current with and comply with coding guidelines and reimbursement reporting requirements.

Desired Qualifications

  • Previous experience in supply chain management or the medical device industry.

About the Company

Hearst

Global media and information services conglomerate

Hearst is a global, diversified media, information, and services group with magazines, newspapers, TV and radio stations, and business information brands. It earns revenue from advertising, subscriptions, and the sale of information services across its media brands, including Fitch Ratings. Its products span consumer magazines (Cosmopolitan, ELLE, Esquire, Men's Health), TV and radio broadcasting, and data services for automotive, medical, and financial industries. Its goal is to be a leading worldwide provider of trusted media content and data-driven information services for individuals and large businesses.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1887

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