Certified Coder - Vytal Health Partners (VHP)

Vytalize Health Inc.

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• As a Certified Medical Coder at Vytal Health Partners (VHP), you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes.
• You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards.
• In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence.
• This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations.
• Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and compliance with regulatory requirements.
• Review and analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes.
• Research payer policies, coding guidelines, and medical record documentation to support denial appeals, claim corrections, and reconsideration requests when appropriate.
• Collaborate with billing and operational teams to resolve coding-related claim issues, reduce recurring denials, and improve first-pass claim acceptance rates.
• Monitor coding, billing, and denial trends; prepare reports and collaborate with leadership and operational teams to implement process improvements, coding edits, and workflow enhancements that support compliance and reimbursement optimization.
• Stay current on changes to coding regulations, reimbursement methodologies, payer policies, and industry best practices through ongoing education and professional development.
• Experience
• Two years of experience in medical record coding and denial management.
• Skills & Competencies
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements.
• Proficiency with coding encoder software, electronic medical record (EMR) systems (EPIC experience preferred but not required), Microsoft Office applications, and other healthcare technology platforms.
• Knowledge of Medicare, Medicaid, and commercial payer policies, including documentation, coding, reimbursement, and compliance requirements.
• Strong analytical and problem-solving skills with the ability to research coding regulations, interpret payer policies, identify root causes of denials, and develop effective solutions.
• Ability to review, interpret, and apply complex medical documentation, coding guidelines, policies, procedures, laws, and regulations.
• Experience reviewing and resolving coding-related denials, underpayments, and payer audit findings preferred.
• Ability to exercise sound independent judgment while maintaining a high degree of accuracy, attention to detail, and professionalism.
• Excellent written and verbal communication skills.
• Strong interpersonal skills with the ability to build collaborative working relationships with providers, operational leaders, and revenue cycle teams.
• Demonstrated commitment to confidentiality, ethical conduct, and compliance with HIPAA and organizational policies.
• Certifications & Licenses
• Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC)
• Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA)
• Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA)

🎯 Requirements

• Two years of experience in medical record coding and denial management.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements.
• Proficiency with coding encoder software, electronic medical record (EMR) systems (EPIC experience preferred but not required), Microsoft Office applications, and other healthcare technology platforms.

🏖️ Benefits

• Annual Bonus Potential
• 401(k) Match (100% up to 4%)
• Health Benefits Effective Day 1
• Health & Wellness Stipend
• Home Office Stipend

Skills & Technologies

Remote

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Vytalize Health Inc.

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About Vytalize Health Inc.

Vytalize Health is a value-based care platform that partners with independent primary-care physicians to improve outcomes and lower costs for Medicare beneficiaries. The company provides physician groups with technology, analytics, care management, and financial infrastructure to transition from fee-for-service to risk-bearing arrangements. Services include remote patient monitoring, chronic-care management, coding support, and shared-savings programs. Founded in 2014 and headquartered in Hoboken, New Jersey, Vytalize Health aims to strengthen independent practices while enhancing patient care for seniors.

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