Remote Cpc A Jobs in Edison, NJ (NOW HIRING)

Senior Medical Coder - E/M & Quality Review

Pay: $28.00-$36.00 per hour
Location: 100% Remote
Schedule: Monday-Friday, flexible daytime schedule
Employment Type: Long term contract opportunity with potenital for full time hire

About the Role

We are supporting a growing healthcare technology company seeking an experienced Senior Medical Coder with strong E/M coding, provider documentation review, and coding quality experience.

This is not strictly a production coding role. The ideal candidate can independently review clinical documentation, determine whether the selected code and level of service are supported, identify coding or documentation discrepancies, and clearly explain the rationale behind coding decisions.

Behavioral health and psychiatry coding experience is highly preferred, but strong senior-level coders, coding auditors, E/M specialists, and coding quality professionals from other outpatient or professional-fee specialties will also be considered.

Responsibilities

• Review outpatient and professional provider documentation for coding accuracy

• Assign or validate CPT, ICD-10-CM, HCPCS, modifiers, and E/M codes

• Determine whether documentation supports the selected level of service

• Apply medical decision-making (MDM) and time-based E/M coding guidelines

• Identify coding discrepancies, documentation gaps, and compliance concerns

• Conduct coding audits, pre-bill reviews, and quality assurance reviews

• Research complex or ambiguous coding scenarios

• Query providers or identify when documentation clarification is needed

• Clearly document and explain coding decisions

• Support coding accuracy, consistency, and compliance initiatives

• Identify coding trends and opportunities for process improvement

• Help refine coding guidelines, workflows, and quality standards

• Collaborate with coding, operations, and technical teams on technology-supported coding workflows

Required Qualifications

• Active AAPC Certified Professional Coder (CPC) certification

• 5+ years of medical coding experience preferred

• Strong outpatient, physician, or professional-fee coding background

• Strong E/M coding knowledge

• Experience reviewing provider documentation and medical records

• Experience with CPT, ICD-10-CM, HCPCS, and modifiers

• Experience with coding audits, QA, compliance, charge review, or pre-bill review

• Strong understanding of MDM and time-based E/M coding

• Ability to independently determine whether documentation supports the assigned code

• Strong attention to detail, research skills, and coding judgment

Highly Preferred

• Behavioral health or psychiatry coding experience

• Experience with CPT 99202-99205 and 99212-99215

• Experience with psychotherapy add-on codes 90833, 90836, and 90838

• CEMC or CPMA certification

• Coding Auditor, Coding Lead, Coding Manager, Coding Educator, or Senior Medical Coder experience

• Provider queries or provider education

• Coding quality assurance or compliance experience

• Professional-fee or physician coding

• Medicare, Medicaid, and commercial payer experience

• Experience training, mentoring, or reviewing other coders

Why Consider This Role?

This opportunity is designed for an experienced coder who enjoys the analytical and quality-focused side of coding.

Rather than simply working through a production queue, you will use your coding expertise to review documentation, evaluate complex E/M decisions, identify coding risks, support quality initiatives, and contribute to process improvement and technology-driven coding workflows.

Equipment Requirement

Candidates must provide their own reliable computer and internet connection for remote work.

Pay: $28.00-$36.00 per hour

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?