Remote Medical Coder jobs – Full‑Time, Senior‑Level ICD‑10 Specialist – $58,000‑$72,000 – Harrison town, New Jersey – Work From Anywhere
TITLE:Remote Medical Coder jobs – Full‑Time, Senior‑Level ICD‑10 Specialist – $58,000‑$72,000 – Harrison town, New Jersey – Work From Anywhere --- ### Who we are We’re a mid‑size health‑tech firm that started in a tiny office in Harrison town, New Jersey fifteen years ago, and today we help more than 120 outpatient clinics across the Midwest process their claims with a 98 % first‑pass accuracy. Our product – a cloud‑based revenue‑cycle platform – sits between the electronic health record and the payer, translating physician notes into clean CPT and ICD‑10 codes.In Harrison town, New Jersey we still keep a small “core” team of 12 coding specialists, but 80 % of our staff work remotely, connected through Slack, Microsoft Teams, and our own “Code‑Chat” channel. The people you’ll meet every day live in Miami, Albuquerque, and even overseas, but they all share the same obsession with detail: the difference between a $150 claim and a $1,500 claim often hinges on a single accurate diagnosis code. ### Why this role exists nowThe past two years saw a 42 % jump in outpatient telehealth visits across the United States, and insurers have shifted from “bundled” to “episode‑based” reimbursement models faster than we could have imagined.In Harrison town, New Jersey alone, our partner network added 38 new clinics that need rapid, compliant coding to stay profitable. We’re also rolling out a new payer‑specific module that requires senior‑level coders who can train junior teammates, audit edge‑case claims, and feed back into the AI‑assisted suggestion engine that powers our 3M Encoder and TruCode software. In short, we need someone who can keep the code‑book tidy while our platform learns from real‑world data. ###The team you’ll join You’ll sit on a cross‑functional “Revenue Ops” squad that currently includes: * 4 senior medical coders (including you) * 3 junior coding specialists who are progressing from “coding apprentice” to full‑fledged ICD‑10 coders * 2 billing analysts who reconcile claim denials and work directly with payers * 1 product manager who translates workflow pain points into feature tickets * 1 quality‑assurance lead who runs monthly accuracy audits We meet virtually twice a week for a 30‑minute “code‑review” stand‑up, and once a month we host a live “clinic‑tour” via Zoom where a provider walks us through a particularly tricky chart.The team’s average tenure is 3.2 years, and their collective claim‑processing volume averages 4,800 claims per month – roughly 1.2 million dollars of billable service each quarter. ### What you’ll do day‑to‑day * Translate physician documentation into the correct CPT, HCPCS, and ICD‑10 diagnosis codes using 3M Encoder, TruCode, and our proprietary AI‑assist layer. * Validate and audit at least 150 claims per day, aiming for a 98 % first‑pass accuracy rate (our current baseline). * Collaborate with the billing analysts to resolve denials, flag recurring rule exceptions, and update payer‑specific guidelines in the Knowledge Base.* Mentor junior coders by reviewing their work, providing “quick‑tips” on modifier usage, and leading the monthly “Code‑Clinic” training series. * Run quarterly “code‑gap” analyses that compare our internal error rate to national benchmarks (the CMS’s Average Payment Accuracy, currently 96 %). * Document coding decisions in our internal Confluence space, ensuring that every edge case is searchable for future reference. * Maintain HIPAA compliance by reviewing access logs, confirming that all patient identifiers are redacted before the claim leaves our system.You’ll have a full‑time schedule (40 hrs/week) but the freedom to split your day however you like – many of our coders block 2‑hour “focus windows” in the morning and take a mid‑day walk to reset. ### Tools & technology you’ll own We rely on a blend of industry‑standard and home‑grown software. In a typical workday you’ll find yourself switching between: 1. Epic – for pulling the original chart notes when the EHR integration flag fires. 2. Cerner – for outpatient encounter details that live outside Epic.3. 3M Encoder – the primary code‑search engine for CPT and ICD‑10 selections. 4. TruCode Encoder – used for cross‑checking modifiers and secondary diagnoses. 5. Office Ally – our cleared‑through clearinghouse for claim submission. 6. Microsoft Office Suite – especially Excel for bulk claim export and analysis. 7. Google Workspace – collaborative docs where the “coding handbook” lives. 8. Slack – quick questions, “code‑snippets,” and meme breaks. 9. Microsoft Teams – formal video calls with providers and the QA lead.10. Zoom – clinic‑tour sessions and remote training webinars. 11. Confluence – for knowledge‑base articles, SOPs, and audit trails. 12. PowerBI – dashboards that show daily coding volume, denial trends, and accuracy percentages. All of these tools are licensed centrally, so you never have to chase software approvals – the IT desk in Harrison town, New Jersey handles provisioning within 24 hours. ### How we measure success * First‑pass accuracy – maintain ≥ 98 % on all claims you process. * Turn‑around time – average 48 hours from chart receipt to claim submission, measured monthly.* Denial reduction – contribute to a 15 % YoY drop in payer denials for the clinics you support. * Mentorship impact – junior coders you coach should achieve a 95 % accuracy rate within 6 months. * Compliance – zero HIPAA breach incidents attributed to coding errors (our current record stands at 0). We share these metrics in a transparent “Performance Dashboard” that every coder can view. If you hit the targets, you’ll see a clear path to a $5,000 annual bonus and a promotion to Lead Coding Specialist after 12‑18 months.### What we offer – beyond the paycheck * Salary range: $58,000 – $72,000 base, commensurate with experience and location. * Remote‑first policy – work from anywhere in the U.S.; we only ask that you have a reliable broadband connection (minimum 25 Mbps download). * Professional development – up to $1,200 per year for AAPC or AHIMA certifications, plus internal “code‑labs” hosted by senior staff. * Health & wellness – medical, dental, vision, and a $150 monthly stipend for home‑office ergonomics. * Paid time off – 20 days + 8 holidays, plus a “Mental‑Health Day” you can take without prior notice.* Community – monthly virtual coffee chats, quarterly in‑person meet‑ups in Harrison town, New Jersey, and an annual “Coding Retreat” at a lakeside resort where we celebrate our best performers. ### Who you are * Experience – at least 3 years of professional coding in a hospital, clinic, or RCM‑focused outsourcing firm. * Credentials – CertifiedProfessional Coder (CPC) or Certified Coding Specialist (CCS) preferred; a current AAPC or AHIMA certification is a must. * Technical fluency – comfortable navigating Epic, Cerner, and the 3M/TruCode encoder suites; fast learner for any new platform we adopt.* Detail‑oriented – you can spot a missing modifier in a sea of numbers without breaking a sweat. * Communicator – you’ll explain coding rationales to providers who sometimes think “coding is a black box.” * Team player – you enjoy a good code‑review debate and are willing to share shortcuts that saved you minutes on a claim. * Ethical – strict adherence to HIPAA, OIG guidelines, and the payer’s compliance policies. If you’ve ever spent a late night reviewing a chart because a single “E” versus “I” could change a diagnosis from “pneumonia” to “pneumonitis,” you’ll understand why we care about precision.### A human moment > “I still remember the first time I caught a 3‑digit error that saved a clinic $12,000 in a single claim. My teammate texted, ‘You just saved an entire family’s vacation.’ That’s the kind of ripple effect we love seeing.” – * Jenna,Senior Coding Specialist, based in Harrison town, New Jersey* Moments like Jenna’s are why we celebrate every clean claim as a win for the patient, the provider, and the whole community. ### 1. Submit your resume (highlighting AAPC/ AHIMA certifications) via our careers portal.2. Attach a brief cover letter – tell us a story about a coding challenge you solved and why you’re drawn to remote work in Harrison town, New Jersey. 3. Complete the 10‑question coding assessment (we’ll send it after you upload your documents). 4. Interview process – a 30‑minute phone screen with the hiring manager, a 45‑minute technical interview with a senior coder, and a final culture chat with the VP of Revenue Ops (who lives in Harrison town, New Jersey and will give you a virtual tour of our “Code‑Chat” channel).We aim to move from application to offer within 10 business days, so you’ll know quickly whether this is the right fit. --- We’re excited to meet the coder who will help keep our claims clean, our revenue strong, and our patients’ stories accurate. If you’re ready to bring your expertise to a team that values precision as much as humanity, hit “Apply” now. Apply tot his job