Innovaccer

Healthcare data analytics platform.

Medical Coding Specialist 1

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeRemote in USARemote

About the Job

Requirements

Must hold a current AAPC or AHIMA certification for a minimum of 3 years.
Have strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
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 prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements.
Demonstrate proficiency in Microsoft Office Suite, including Word, Excel, Outlook, and Teams.
Have a minimum of 3 years of professional coding experience.

Responsibilities

Review, analyze, and resolve assigned front-end claims independently to ensure accurate and timely claim submission.
Average 10 front-end holds per hour and maintain a minimum of 90% 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 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.
Participate in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead.
Escalate identified client trends and coding-related questions to the assigned Coding Team Lead.
Maintain and complete all continuing education unit requirements.
Perform other duties or tasks as assigned.

Medical Coding Specialist - I

Innovaccer Analytics · United States (Remote) · Full-time · Posted 2026-06-30

Workplace: remote

Department: Customer Success

Description

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare.

About the Role

The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder 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 per hour
Maintains a minimum of 90% 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 Team Lead.
Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification.
Maintains and completes all CEU requirements.
Performs other duties or tasks as assigned.

Requirements

What You Need

Must hold a current AAPC or AHIMA Certification for a minimum of 3 years.
Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
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 clarify documentation needs and maintain collaborative working relationships with physicians and staff.
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).
Minimum of 3+ years of professional coding experience.

Benefits

Competitive pay of $24-$28 per hour
Private Health Insurance
Pension Plan
Paid Time Off
Work From Home
Training & Development
Performance Bonus
Health Care Plan (Medical, Dental & Vision)
Retirement Plan (401k, IRA)
Life Insurance (Basic, Voluntary & AD&D)
Family Leave (Maternity, Paternity)
Short Term & Long Term Disability
Wellness Resources

Apply

Apply at Innovaccer Analytics

About the Company

Innovaccer

Healthcare data analytics platform.

Innovaccer provides a Health Cloud platform that connects, curates, and analyzes healthcare data to improve patient outcomes and reduce costs. The platform lets healthcare providers manage transitional care, lower 30-day readmissions, and expand primary care services, while giving pharmaceutical companies like Roche contextualized patient insights to lower development costs and risk. Revenue comes from clients paying for platform use. Unlike others, Innovaccer demonstrates value through measurable results (e.g., a CHESS $3 million value and a 23% reduction in 30-day readmissions) and earns high scores in independent analytics rankings (e.g., 94.9/100 in KLAS Data & Analytics Platforms with “A” across all six Customer Experience Pillars). The company's goal is to turn healthcare data into practical, scalable insights that improve clinical and financial outcomes for providers, life sciences partners, and patients.

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

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