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Role overview
Job description
Position Summary We are seeking an experienced E/M coder with strong Outpatient (OP) and Inpatient (IP) coding knowledge to support coding quality, denial prevention, and rejection resolution activities. The individual will serve as a subject matter expert (SME), assisting coders in accurate code assignment, denial analysis, and provider documentation improvement. Key Responsibilities Review and resolve coding-related denials and rejections. Perform OP and IP E/M coding audits, Surgery knowledge would be an added advantage. Validate E/M level selection based on MDM and time-based guidelines. Identify root causes and denial trends. Provide coding education and feedback to team members. Support quality initiatives and coding accuracy improvements. Collaborate with Operations, Quality, and Denial Management teams. Assist with provider documentation clarification when needed. Required Qualifications Minimum 3-5 years of E/M coding experience. Strong knowledge of OP and IP E/M guidelines. Experience reviewing coding denials and payer rejections. Ability to interpret medical records and apply coding guidelines accurately. Strong analytical and communication skills. CPC, CCS, or equivalent coding certification preferred. Preferred Skills Strong understanding of medical necessity requirements. Knowledge of modifier usage and payer-specific guidelines. Ability to mentor and support junior coders. Experience in eCW, Athena, Epic & Cerner Key Competencies Attention to Detail Critical Thinking Problem Solving Quality Focus Effective Communication Team Collaboration
About this listing
- Source: Advantum Health's official careers site (via Keka) · last confirmed on the source 6 Nov 2026
- Posted 2 Nov 2026
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27
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What they are looking for
Skills & requirements
Qualification
CPC, CCS, or equivalent coding certification preferred
Department · Codingop
Hiring company
Advantum Health
Full-service revenue cycle management for hospitals, health systems and specialty practices. 98%+ collection rate, $1B+ managed. Schedule a conversation.
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