Medical Coder

WHO WE ARE

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.

POSITION SUMMARY

The Medical Coder is responsible for reviewing patients' medical records following each visit and translating the documentation into standardized diagnosis and procedure codes (ICD-10-CM, CPT, and HCPCS) that payers use to process and reimburse claims. The Coder ensures that codes are assigned accurately, sequenced appropriately, and remain compliant with official coding guidelines and applicable government and payer regulations.

Working across Centrum's medical centers, the Medical Coder collaborates with providers and staff to confirm treatments and diagnoses, identify and resolve missing or unclear documentation, and support timely, accurate claim submission. This role reports to the Manager of Medical Coding and performs additional responsibilities as assigned.

DUTIES & RESPONSIBILITIES

The following responsibilities are representative of the work performed in this role. Additional responsibilities may be assigned on a need basis.

Coding & Code Assignment

• Review patients' medical records after each visit and translate documentation into accurate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS).
• Ensure codes are assigned correctly and sequenced appropriately in accordance with government and payer regulations.
• Comply with official medical coding guidelines and organizational policies and procedures.

Documentation Review & Accuracy

• Receive and review patient charts and documents to verify completeness and accuracy prior to code assignment.
• Identify missing information and follow up with providers and staff to clarify documentation that is unclear or incomplete.
• Confirm treatments and diagnoses with medical staff as needed to support correct coding.

Reporting, Compliance & Training

• Collect information from the physician and other sources to prepare periodic (e.g., monthly) reports.
• Apply consistent procedures and appropriate methods to ensure correct, reliable coding results.
• Support accurate and timely claim submission for reimbursement.
• Maintain coding certification and attend in-service training as required.
• Perform additional responsibilities as assigned on a need basis.

QUALIFICATIONS

To perform this job successfully, an individual must meet the following qualifications. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Certifications & Licensure

• Medical Coding Certificate- RHIT or CPC through AAPC or AHIMA — required.
• Meet applicable state licensure requirements — required.
• Maintain active coding certification and attend in-service training as required.
• CPR certification — preferred.

Education & Experience

• High school diploma or equivalent required.
• Minimum of one (1) year of medical coding experience.

Knowledge & Skills

• Understanding of medical terminology, anatomy, and physiology.
• Strong computer skills in data entry and coding, with knowledge of Electronic Medical Record (EMR) software and the Microsoft Office Suite.
• Accurate and precise attention to detail.
• Ability to work independently and as an active member of a team.
• Ability to multitask, prioritize, and manage time efficiently.
• Excellent verbal and written communication skills; goal-oriented and organized team player.

Language Skills

• Bilingual proficiency in English and Spanish preferred.