Top 9 Certified medical coder Jobs in Shelby Nc

Certified Professional Coder
Piedmont Plastic Surgery & Dermatology —Gastonia, NC
- From $25 an hour
- Full-time
- Background check
- Anatomy knowledge
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Lead Denial Management Specialist
Piedmont Plastic Surgery & Dermatology —Gastonia, NC
- From $25 an hour
- Full-time
- Background check
- Ability to walk for extended periods
- Microsoft Office
- Dental insurance
- 401(k)
Quick Apply

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Certified Professional Coder

Piedmont Plastic Surgery & Dermatology -
Gastonia, NC

Quick Apply

Job Details

Full-time
From $25 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Life insurance

Qualifications

Computer operation
Anatomy knowledge
Teamwork
National Correct Coding Initiative (NCCI) guidelines
Medicare
Managed care
Electronic health records (EHR) management
Health insurance policy knowledge
CMS
HIPAA
Patient management software
High school diploma or GED
Certified Professional Coder
CMS regulatory compliance
Medicare regulations
Electronic health record (EHR) management for billing and coding
Desktop applications
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Productivity software
Video conferences (communication methods)
Medical terminology
Time management

Full Job Description

Job Overview:

The Revenue Cycle Management (RCM) Certified Professional Coder is responsible for accurate and timely review, assignment, and validation of diagnosis and procedure codes for professional outpatient services in accordance with ICD-10-CM, CPT, HCPCS, payer-specific, and regulatory guidelines. This position supports optimal reimbursement through accurate charge capture, coding compliance, documentation review, and collaboration with providers, clinical staff, and revenue cycle partners. The RCM Coder ensures coding integrity while maintaining productivity and quality standards that support organizational financial performance and regulatory compliance.

RESPONSIBILITES-

CODING AND CHARGE CAPTURE:

Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for professional outpatient encounters.
Process all assigned charges within established productivity standards (generally within 48 hours of receipt).
Validate charge accuracy prior to claim submission to ensure complete and compliant billing.
Review and resolve coding edits, claim rejections, and missing documentation affecting reimbursement.
Apply official coding guidelines, payer-specific requirements, National Correct Coding Initiative (NCCI) edits, and Local/National Coverage Determinations (LCD/NCD).
Ensure documentation supports medical necessity and services billed.
Identify documentation deficiencies and communicate opportunities for improvement to providers and leadership.

REVENUE CYCLE SUPPORT:

Collaborate with Denials Management and Clinical Operations to resolve coding-related issues.
Correct coding-related account errors to facilitate clean claim submission.
Support timely claim submission by minimizing coding delays.
Assist with coding-related appeals and payer documentation requests as needed.
Review insurance requirements impacting coding and reimbursement.

COMPLIANCE AND QUALITY:

Maintain compliance with CMS, federal, state, and payer regulations.
Track recurring documentation or coding trends and communicate findings to leadership.
Maintain confidentiality of protected health information (PHI) in accordance with HIPAA regulations.
Stay current with annual coding updates, reimbursement methodologies, and regulatory changes.

REQUIRED KNOWLEDGE:

ICD-10-CM diagnosis coding
CPT and HCPCS Level II coding
CMS regulations
National Correct Coding Initiative (NCCI)
LCD/NCD medical necessity guidelines
Outpatient physician coding
Revenue Cycle Management processes
Healthcare reimbursement methodologies
Commercial, Medicare, Medicaid, and managed care payer guidelines
Medical terminology, anatomy, and physiology
Electronic Health Records (EHR) and Practice Management systems

REQUIRED SKILLS:

Excellent analytical and critical thinking skills
Strong attention to detail and accuracy
Effective verbal and written communication
Strong organizational and time-management skills
Ability to prioritize multiple assignments
Proficiency with Microsoft Office applications
Experience using Electronic Medical Record (EMR/EHR) and Practice Management software
·Ability to work independently while contributing to a collaborative team environment

MINIMUM QUALIFICATIONS:

High School Diploma or GED required.
Certified Professional Coder (CPC) credential required. 5+ years of direct coding experience will be considered in conjunction with successfully passing CPC exam within 6 months of start date.
Additional coding credentials (CPC-I, CCS-P, RHIT, RHIA, CRC) preferred.
Minimum of two (2) years of professional outpatient coding experience required.
Dermatology and Plastic Surgery physician coding experience preferred.
Experience with electronic health records and practice management systems required.

PHYSICAL REQUIREMENTS:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequently sit for extended periods.
Frequently use hands and fingers for keyboard and computer work.
Frequently communicate via telephone and video conferencing.
Occasionally stand, walk, bend, and lift up to 10 pounds.
Visual ability to review electronic medical records and computer screens for extended periods.

WORK ENVIRONMENT:

This position primarily works in an office or remote office environment with standard office equipment and moderate noise levels. Reliable internet connectivity and the ability to maintain HIPAA-compliant work practices are required for remote work arrangements, where applicable.

Pay: From $25.00 per hour

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Education:

High school or equivalent (Required)

Experience:

Direct Coding : 5 years (Preferred)
Professional Outpatient coding : 2 years (Required)

License/Certification:

Certified Professional Coder (Required)

Ability to Commute:

Gastonia, NC 28054 (Preferred)

Work Location: In person

Quick Apply

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certified medical coder jobs in shelby nc

Certified Professional Coder

Lead Denial Management Specialist

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