Certified Coder

Your Opportunity

As a Certified Medical Coder at Vytal Health Partners, 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.

What you will do

• 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.

What y...