Job Description
Job DescriptionWe are looking for a Medical Coder to join a healthcare organization in Sacramento, California in a Contract to permanent capacity. In this role, you will translate clinical documentation into accurate diagnostic and procedural codes that support compliant billing and reimbursement. This opportunity is ideal for someone who can balance productivity with precision while working closely with providers and revenue cycle partners.
Responsibilities:
• Examine clinical records and determine the correct diagnosis and procedure codes for charge capture within required turnaround times.
• Apply ICD-10, CPT, and evaluation and management coding standards to physician and provider documentation with a strong focus on accuracy and compliance.
• Sequence diagnoses and procedures appropriately to support ethical billing practices and proper reimbursement outcomes.
• Investigate complex, uncommon, or unclear cases to identify the most accurate coding approach using current industry guidance and reference tools.
• Recognize services that require billing modifiers, including special reporting situations, and ensure they are reflected correctly on coded encounters.
• Communicate with physicians and other providers to resolve incomplete, conflicting, or ambiguous documentation before finalizing codes.
• Monitor accounts with missing documentation and follow through to help move encounters toward accurate coding and billing completion.
• Support claims follow-up activities by addressing coding edits, denials, audit requests, and other reimbursement-related inquiries.
• Contribute to compliance reviews, internal audits, and ongoing education efforts while staying current on regulatory and payer guideline updates.