Job Description

Job Title:

Medical Coder - RCM (Pain Management Specialty)

Department:

Revenue Cycle Management

Location: WORK FROM HOME

Job Type:

Full time

Position Summary:

We are seeking a highly skilled

Certified Professional Coder (CPC)

with specialized experience in

Pain Management

to join our RCM team. The ideal candidate will have in-depth knowledge of coding guidelines, compliance standards, and payer-specific policies to ensure accurate and timely billing and reimbursement. This position plays a vital role in maximizing revenue integrity while maintaining compliance with federal, state, and payer regulations.

Key Responsibilities:

Review, analyze, and accurately assign

ICD-10, CPT, and HCPCS Level II codes

for Pain Management procedures. Ensure proper documentation supports all codes assigned for services rendered. Perform coding and charge entry for pain management-related services including but not limited to

injections, nerve blocks, spinal procedures, and implantable devices

. Collaborate with physicians, clinical staff, and billing teams to resolve coding queries and documentation gaps. Work within the

RCM workflow

to reduce claim denials and support accurate reimbursement. Stay updated with

CPT/ICD coding updates, payer guidelines, and NCCI edits

specific to pain management. Assist in denial management and appeals as needed by providing coding rationales and documentation support. Maintain compliance with HIPAA and other applicable laws and regulations. Meet productivity and accuracy benchmarks consistently.

Required Qualifications:

CPC (Certified Professional Coder)

certification from AAPC - mandatory*.
Minimum

2 years of coding experience in Pain Management

- required. Solid understanding of RCM workflows, including charge capture, claim submission, and denial resolution. Strong knowledge of

CMS guidelines, modifiers, and medical necessity documentation

. Proficiency with EHR/EMR and coding software (e.g., EncoderPro, 3M, Epic, etc.). High attention to detail and accuracy. Strong analytical, organizational, and communication skills.

Preferred Qualifications:

Additional certifications (e.g., CPMA, COC, CRC) are a plus. Experience working in a multi-specialty or ASC (Ambulatory Surgery Center) environment. Familiarity with commercial and federal payers (Medicare/Medicaid).
Job Type: Full-time

Pay: ?300,000.00 - ?600,000.00 per year

Work Location: In person