Medical Coder — Endocrinology & Metabolic Health
EnLyv Clinics | New Jersey (multi-site)
About EnLyv Clinics
EnLyv Clinics is a physician-led outpatient endocrinology, metabolic health, and medical weight loss practice with four locations across New Jersey. Our PA-driven care model gives patients same-day and next-day access to specialty endocrine care — a level of responsiveness that is rare in this field. We are a growing practice that takes documentation and compliance seriously, and we are looking for a coder who wants to own that function rather than simply process claims.
Position Summary
The Medical Coder is responsible for accurate CPT, ICD-10-CM, and HCPCS Level II coding across all EnLyv locations, with an emphasis on endocrinology-specific services. This role sits at the center of our revenue cycle: reviewing provider documentation, assigning and validating codes, resolving denials, and partnering directly with our physicians and PAs to strengthen documentation at the point of care.
This is a hands-on role with real autonomy. You will work directly with practice leadership on coding policy, payer-specific requirements, and internal audit.
Key Responsibilities
- Review and code office visits, consultations, and procedures using current CPT, ICD-10-CM, and HCPCS Level II conventions
- Apply 2021+ E/M guidelines accurately, with correct use of medical decision-making vs. time-based selection, prolonged services, and modifiers (25, 59, XU, 95, etc.)
- Code and validate in-office diagnostic studies including ABI/lower extremity physiologic studies, lower extremity arterial duplex, autonomic nervous system testing, sudomotor testing, thyroid ultrasound, and abdominal ultrasound — including correct professional/technical component and bundling logic
- Support coding for continuous glucose monitoring (CGM), remote physiologic monitoring (RPM), chronic care management (CCM), diabetes self-management education, obesity/intensive behavioral therapy counseling, and telehealth services
- Verify medical necessity against Novitas JL LCDs/NCDs and commercial payer policies; flag encounters requiring an ABN and confirm proper ABN execution and modifier assignment
- Perform charge entry and pre-submission claim scrubbing; identify and correct errors before claims go out
- Work denials, underpayments, and rejections — research root cause, draft appeals with supporting documentation, and track resolution to completion
- Conduct routine internal chart audits and report findings, trends, and error patterns to practice leadership
- Provide clear, respectful documentation feedback and education to physicians and PAs
- Maintain coding accuracy standards (target 95%+) and stay current on annual code set changes, payer bulletins, and CMS updates
- Maintain strict HIPAA compliance and patient confidentiality at all times
Required Qualifications
- Active coding certification: CPC, COC, CCS, or CCS-P (AAPC or AHIMA)
- 2+ years of professional-fee coding experience in an outpatient or specialty physician practice
- Strong working knowledge of CPT, ICD-10-CM, HCPCS Level II, NCCI edits, and modifier application
- Demonstrated command of current E/M documentation and coding guidelines
- Experience with EHR and practice management systems, and comfort working within a clearinghouse workflow
- Solid understanding of Medicare, Medicaid, and commercial payer rules
- Excellent attention to detail, follow-through, and written communication
Preferred Qualifications
- Endocrinology, internal medicine, cardiology, or vascular coding experience
- Familiarity with Novitas Solutions (Jurisdiction JL) policies and New Jersey payer landscape
- Experience coding vascular/non-invasive diagnostic studies or point-of-care ultrasound
- Experience with GLP-1 and weight management coverage, prior authorization, and coverage documentation requirements
- Prior experience with denials management and appeal writing
- CRC (Certified Risk Adjustment Coder) or HCC coding experience
What We Offer
- Competitive compensation with certification and experience factored in
- [Health, dental, and vision insurance]
- [Paid time off and paid holidays]
- [401(k) with employer contribution]
- [CEU reimbursement and annual certification renewal support]
- A collaborative, physician-led environment where coding accuracy is treated as a clinical priority, not an afterthought
- Growth into a lead coder / revenue cycle role as the practice expands
How to Apply
Apply directly through Indeed with your resume and a brief note about your specialty coding background. Questions about the role may be directed to [email protected]
Pay: $19.00 - $21.00 per hour
Benefits:
Work Location: Hybrid remote in Bridgewater, NJ 08807
