RCM Medical Coding Processor at Veradigm® in Remote - US

Job description

• This role is responsible for reviewing medical records to ensure coding accuracy, compliance, and alignment with AMA CPT, ICD-10-CM, CMS, NCCI and payer guidelines. The position interacts and collaborates with providers, vendors and internal teams to support coding integrity, compliance risk mitigation, and drives continuous quality improvement through targeted education, documentation, coding related feedback, and coding denial support.

Responsibilities

• Abstract coding of all (pro-fee) E/M visits and office-based services and procedures
• Daily QA evaluation of coded services to ensure accuracy of completed coding
• Provide targeted coding education and feedback
• Validate ICD‑10‑CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
• Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
• Support coding education through feedback, targeted training, and reference materials
• Provide actionable recommendations to address coding findings and reduce coding errors
• Support denial prevention, resolution and appeal strategies
• Collaborate across teams to assist with coding support

Requirements

• AAPC credential required: CPC or CPC-A
• 2+ years of ProFee abstract medical coding
• E/M documentation guidelines
• Modifier rules and NCCI edits
• CPT, ICD‑10‑CM, HCPCS Level II
• High attention to detail with strong analytical and critical‑thinking skills
• Excellent written and verbal communication skills for coding feedback and education
• Proficiency with EHRs, coding and auditing tools

Skills

Required

• High attention to detail
• E/M documentation guidelines
• Modifier rules and NCCI edits
• CPT, ICD-10-CM, HCPCS Level II
• EHRs, coding and auditing tools

Benefits

• At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
• Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.