Remote Aetna Medical Coding Jobs in Nebraska (NOW HIRING)

Memorial Community Hospital & Health System, located in Blair, NE, is seeking an experienced and detail-oriented Certified Medical Coding Specialist join our Revenue Cycle team. This position plays a critical role in ensuring accurate coding, billing compliance, and quality reporting for both inpatient and outpatient services.

Enjoy the flexibility of a primarily remote role, with periodic onsite attendance for monthly meetings and team collaboration.

At MCH, we are more than just a hospital—we are a community dedicated to healing, nurturing, and promoting wellness.

What You’ll Do:

The Certified Medical Coder is responsible for reviewing clinical documentation, assigning accurate ICD-10-CM, ICD-10-PCS, HCPCS, and CPT codes, and ensuring compliance with federal regulations, payer requirements, and coding guidelines. The role also includes conducting coding audits, supporting provider education, resolving billing-related coding issues, and contributing to revenue cycle performance improvement initiatives.

• Review and code inpatient, outpatient, emergency department, observation, surgical, and other hospital encounters.
• Analyze clinical documentation and diagnostic results to assign accurate diagnosis and procedure codes.
• Conduct documentation and coding audits to ensure accuracy, completeness, and compliance.
• Identify incomplete, inconsistent, or unclear documentation and submit physician queries when appropriate.
• Maintain current knowledge of coding regulations, payer requirements, and industry best practices.
• Provide coding-related education and guidance to providers and staff.
• Verify that services rendered are supported by appropriate physician orders and documentation.
• Assist with coding inquiries from providers, billing staff, and other departments.
• Collaborate with Patient Financial Services (PFS) and Revenue Cycle teams to resolve coding and billing issues.
• Analyze coding error trends and support workflow improvements to reduce errors.
• Respond to coding-related inquiries from insurance carriers and other authorized entities.
• Adhere to the American Health Information Management Association (AHIMA) Standards of Ethical Coding.

What You’ll Need:

Education

• High School Diploma or equivalent required.
• Successful completion of an accredited coding certificate program required.

Certifications

• AAPC Certified Professional Coder (CPC) certification required.
• RHIA, RHIT, CCS, or CCS-P certifications preferred.

Experience

• Minimum of three (3) years of hospital coding experience.
• Experience with hospital billing and reimbursement processes.
• At least one (1) year of experience utilizing ICD-10 and CPT coding conventions.
• Working knowledge of CMS coding, documentation, and reimbursement requirements.
• Demonstrated ability to accurately assign ICD-10 and CPT codes.
• Understanding of physician practice operations and healthcare workflows.

Knowledge, Skills & Abilities

• Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding principles.
• Excellent attention to detail and organizational skills.
• Strong written and verbal communication skills.
• Proficiency with computer systems, electronic medical records, and coding software.
• Ability to handle confidential information in accordance with HIPAA requirements.
• Ability to work independently and collaboratively within a team environment.
• Professionalism, integrity, and commitment to ethical coding practices.
• Strong analytical and problem-solving skills.

This position offers a hybrid work arrangement. To be successful in this role, candidates must:

• Be able and willing to work scheduled days onsite at our Blair, Nebraska location.
• Maintain a productive, secure, and distraction-free home workspace when working remotely.
• Have reliable high-speed internet access for remote work.
• Attend onsite meetings, training sessions, audits, and department activities as required.
• Comply with all MCH policies regarding remote work, data security, and patient confidentiality.

Benefits Package:

• Competitive compensation and benefit package
• Paid Time Off
• Health, Dental, and Vision insurance at competitive rates
• Basic Life and AD&D insurance provided by MCH
• Short and long-term disability coverage provided by MCH
• 401(k) and Roth Retirement Plan with company match
• Employee Assistance Program
• Wellness Program
• Tuition Reimbursement
• Employee Discounts

Equal Opportunity Employer: Memorial Community Hospital & Health System is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.