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Position Title: Medical Coder Work Location: Remote - CST Assignment Duration: 6 months Work Arrangement: Remote
Position Summary
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion. Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review.
Key Responsibilities
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion
Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review
Review cases with Medical Director to validate decisions and identify opportunities to create medical policy in the absence of guidelines
Assist with research of health plan coding questions
Qualification & Experience
Required: Associate's degree in related field or equivalent experience
Required: Coding Certification - CPC, CPC-H, CPC-A, CPC-P, CCS, CCS-P, CPMA, RHIT or RHIA
Preferred: CPC, CPC-P, CCS, CCS-P
Required: Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related clinical experience
Preferred: Experience in provider communication and education
Disqualifiers:
Additional Information
Additional qualities to look for: Experience in provider communication and education preferred. Positive attitude, growth mindset, and work well with change. Partnership approach, Critical Thinking. Top 3 must-have hard skills stack-ranked by importance:
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion. Identify potential billing errors, abuse, and fraud.
Operate technological hardware (laptop, pc) and work in software applications
Written and verbal communication
| Candidate Requirements |
| Education/Certification |
Required: Associate's degree in related field or equivalent experience. Coding Certification - CPC, CPC-H, CPC-A, CPC-P, CCS, CCS-P, CPMA, RHIT or RHIA |
Preferred: CPC, CPC-P, CCS, CCS-P |
| Licensure |
Required: Associate's degree in related field or equivalent experience. Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related clinical experience. Experience in provider communication and education preferred.
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Preferred: N/A |
Years of experience required:
2+ years of experience in medical billing & Coding
Disqualifiers:
Less than 2 years' experience. Lack of certification. Inability to work with technology hardware and software applications. Not dependable.
Additional qualities to look for: Experience in provider communication and education preferred. Positive attitude, growth mindset, and work well with change. Partnership approach, Critical Thinking. |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion. Identify potential billing errors, abuse, and fraud. |
| 2 |
Operate technological hardware (laptop, pc) and work in software applications |
| 3 |
Written and verbal communication |
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Spectraforce Technologies
Jan 15, 2026