Medical Coder

About the job

We are hiring a Certified Professional Coder (CPC) with a strong focus on Denial Management and Revenue Integrity. This role is ideal for a coder who goes beyond surface-level fixes—someone who investigates denied claims deeply, corrects root-cause coding issues, and drives successful appeals.

This is not a production-only coding role. You will be trusted to think critically, hard code directly from medical records, and work collaboratively across billing and AR to protect revenue.

Why Join Us

• 100% remote, stable full-time role
• Clear scope focused on denial resolution and accuracy
• Opportunity to work on complex cases that require true coding expertise
• Competitive hourly rate for experienced CPCs in Pakistan

Key Responsibilities

Denial Management & Coding

• Analyze and resolve complex claim denials related to CCI edits, medical necessity, bundling, and modifier usage
• Review medical records and hard code directly from documentation to support appeals (ICD-10-CM, CPT, HCPCS)
• Prepare and submit detailed appeal letters citing AMA and CMS coding guidelines
• Identify denial trends and provide actionable feedback to prevent future rejections

Billing & Revenue Cycle Support

• Apply end-to-end billing knowledge to ensure corrected claims are rebilled accurately and timely
• Verify insurance eligibility and benefits when denials are coverage-related
• Work closely with Accounts Receivable to follow up on aged or high-risk claims

Communication & Inbound Support

• Handle inbound calls from patients regarding billing inquiries and from insurance representatives regarding claim status
• Communicate with providers to resolve documentation gaps contributing to denials

Additional revenue-cycle-related tasks may be assigned by management as needed.

Qualifications & Requirements

Required

• Active CPC certification (AAPC)
• Strong understanding of anatomy, physiology, and medical terminology
• Experience using EMR/EHR systems and clearinghouses
• High attention to detail and strong written communication skills

Preferred / Advantage

• Proven hard coding ability without heavy reliance on CAC tools
• Prior experience in medical billing (AR, payment posting, claim scrubbing)
• Experience handling denial buckets and payer appeals
• Inbound call or healthcare call-center experience

Key Traits We Value

• Investigative mindset—able to pinpoint exactly why a claim was denied
• Persistence in working payers through to resolution
• Accuracy and discipline when reviewing large medical records and payer rules

Role Details

• Employment Type: Full-Time
• Location: Remote (Pakistan-based candidates encouraged to apply)
• Rate: Up to $10/hour, based on experience
• Schedule: Consistent full-time hours

If you are a CPC who takes pride in accuracy, understands the full revenue cycle, and enjoys solving complex denial cases, we want to hear from you.

Apply now and bring your coding expertise where it truly makes an impa