About Med USA
Med USA is a Utah-based medical billing/provider services company with a nationwide presence. We have been in business for over 45+ years and provide practice management, payer credentialing and contracting, and full-cycle management (RCM) services, including coding, billing, follow-up, and denial resolution. Join our fast-paced, high-energy team as a medical billing specialist, with great company benefits and opportunity for growth.
The ideal candidate is motivated, professional, and detail-oriented, with a strong commitment to producing high-quality work and making a positive impact on the team. If you enjoy helping others, solving problems, and working in an open, collaborative, fast-paced environment, this is a great opportunity for you. Medical billing or insurance experience is preferred, but we’re happy to train the right candidate.
Position Summary
The Certified Medical Coder is responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes to support compliant billing and optimal reimbursement. This role plays a critical part in the revenue cycle by ensuring coding accuracy, maintaining compliance with industry regulations and payer guidelines, and helping to minimize claim denials and reimbursement delays. The Certified Medical Coder works collaboratively with providers, billing teams, and operational leadership to support coding quality, documentation integrity, and revenue cycle performance.
Essential Duties and Responsibilities
- Review medical records, provider documentation, encounter forms, and related clinical information to accurately assign ICD-10-CM, CPT, and HCPCS codes.
- Ensure coding practices comply with CMS, Medicare, Medicaid, commercial payer requirements, and applicable federal and state regulations.
- Analyze documentation for completeness, accuracy, and medical necessity; identify and resolve coding discrepancies and documentation deficiencies.
- Collaborate with providers and clinical staff to obtain clarification when documentation does not adequately support code assignment.
- Support clean claim submission by ensuring coding aligns with payer-specific guidelines and reimbursement requirements.
- Research and apply coding guidelines, payer policies, and regulatory updates to maintain coding accuracy and compliance.
- Assist with coding-related claim denials, appeals, and reimbursement issues by identifying root causes and recommending corrective actions.
- Participate in coding audits, quality assurance reviews, and compliance initiatives to ensure coding integrity and reduce risk.
- Monitor coding trends and identify opportunities to improve reimbursement, reduce denials, and enhance operational efficiency.
- Maintain established productivity, quality, and accuracy standards.
- Partner with billing specialists, account managers, and leadership to resolve coding concerns and support overall revenue cycle performance.
- Participate in ongoing education and training to maintain certification requirements and stay current on industry changes.
- Protect patient confidentiality and maintain compliance with HIPAA and all applicable privacy regulations.
- Perform other duties and special projects as assigned.
Required Qualifications
- High school diploma or equivalent required.
- Current coding certification required, including one of the following:
- CPC (Certified Professional Coder)
- CCS (Certified Coding Specialist)
- CCS-P (Certified Coding Specialist – Physician-Based)
- COC (Certified Outpatient Coder)
- Equivalent coding certification
- Minimum of two (2) years of professional medical coding experience preferred.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Working knowledge of medical terminology, anatomy, physiology, disease processes, and reimbursement methodologies.
- Understanding of healthcare compliance regulations and payer requirements.
- Experience utilizing electronic health records (EHRs), practice management systems, and coding resources.
- Strong analytical, organizational, and problem-solving skills.
- Exceptional attention to detail and commitment to accuracy.
- Ability to work independently, manage priorities, and meet deadlines in a fast-paced environment.
- Effective verbal and written communication skills.
Preferred Qualifications
- Minimum 2+ years of hands-on experience utilizing medical billing platforms, specifically Athenahealth (Athena Net) and AdvancedMD (AMD).
- Experience within a physician practice, healthcare system, or Revenue Cycle Management (RCM) organization.
- Experience with coding audits, compliance reviews, provider education, and denial management.
- Familiarity with multiple medical specialties and payer types.
- Knowledge of revenue cycle workflows and reimbursement processes.
Success in This Role
Successful candidates demonstrate a high level of coding expertise, attention to detail, and commitment to compliance. They are proactive problem-solvers who can identify opportunities to improve documentation quality, coding accuracy, and reimbursement outcomes while working collaboratively with internal teams and clients.
Physical Requirements
- Prolonged periods of sitting and working at a computer.
- Ability to review detailed electronic documentation for extended periods.
- Ability to communicate effectively with providers, clients, employees, and leadership.
Benefits
- Competitive compensation based on experience and certification.
- Comprehensive benefits package.
- Paid time off and company-observed holidays.
- Professional development and continuing education opportunities.
- Collaborative and supportive team environment.
Benefits:
- Health Insurance
- Dental Insurance
- Vision Insurance
- 401(k)
- 401(k) matching
- Disability Insurance
- Life insurance
- HSA/FSA
- Paid time off
- Parental leave
- Flexible schedule
- Hybrid Work Opportunity
Job Type: Full-time
Schedule:
- 8-hour shift
- Monday to Friday
Education:
High school diploma or equivalent required
Experience:
- Minimum of two (2) years of professional medical coding experience preferred.
- Minimum 2+ years of hands-on experience utilizing medical billing platforms, specifically Athenahealth (Athena Net) and AdvancedMD (AMD).
Pay: $52,000- $66,000 a year
Ability to Commute:
Work Location: Hybrid/ Fully Remote
Pay: $52,000.00 - $66,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Vision insurance
Application Question(s):
- Who do you hold your credentials with?
(_) AAPC () AHIMA () Both (_) Neither / Uncertified
- • Please provide your coding credential(s), including the credential type (e.g., CPC, CCS). If available, you may include your credential ID and your full name as it appears on your certification profile. This information would be used solely to verify qualifications and will be kept confidential.
Education:
- High school or equivalent (Required)
Experience:
- Medical billing: 2 years (Required)
- Medical coding: 2 years (Preferred)
Ability to Commute:
- Sandy, UT 84070 (Preferred)
Work Location: Hybrid remote in Sandy, UT 84070
