About the job:

MULTI-SPECIALTY MEDICAL CODER

Job description

OptiClaim Business Solutions is a leading provider of healthcare reimbursement and medical coding services. We are committed to excellence in our field, ensuring accurate, efficient, and compliant billing practices. Join our dynamic team of professionals and contribute to our mission of delivering top-notch coding solutions to our clients.

Role Overview

As a Multi-Specialty Medical Coder, you will play a critical role in ensuring coding accuracy, denial prevention, compliance, and revenue optimization across multiple outpatient specialties. The ideal candidate will possess expertise in specialty coding, denial analysis and resolution, and strong Microsoft Excel skills to support reporting, auditing, productivity tracking, and operational analytics.

Key Responsibilities

Accurately assign ICD-10-CM, CPT, HCPCS, and modifier codes for professional and outpatient services across multiple specialties.

Review and code encounters for ED, PCP, Orthopedics, Pain Management, Neurology, Neurosurgery, Interventional Radiology (IR), and Surgical specialties.

Analyze and resolve outpatient coding denials, underpayments, and payer rejections.

Ensure compliance with CMS guidelines, NCCI edits, LCD/NCD policies, and payer-specific requirements.

Perform coding audits and support documentation improvement initiatives.

Develop productivity, denial, and operational reports using Microsoft Excel.

Essential Skills & Competencies

ICD-10-CM, CPT, HCPCS, and modifier expertise.

Strong knowledge of outpatient professional coding and denial management.

Knowledge of Medicare guidelines, NCCI edits, and payer policies.

Strong analytical, communication, and problem-solving skills.

Must-Have Expertise in the Following Areas

PCP (Primary Care)

Orthopedics

Pain Management

Neurology

Neurosurgery

Interventional Radiology (IR)

Surgical Coding

E/M Coding

Outpatient Denials and Appeals

Advanced Microsoft Excel Skills

Pivot Tables and Pivot Charts

VLOOKUP, HLOOKUP, XLOOKUP

INDEX/MATCH

IF, SUMIFS, COUNTIFS, AVERAGEIFS

Conditional Formatting

Data Validation

Dashboard Creation and KPI Reporting

Large Dataset Analysis and Reconciliation

Qualifications

Certification: CPC, CCS, COC, or equivalent coding credential preferred.

Minimum 2+ years of medical coding experience in outpatient and/or professional fee coding.

Experience handling outpatient denials and payer-specific requirements.

Strong Microsoft Excel skills required.

Experience with EHR systems, practice management systems, and coding software.

How to Apply

If you're a coding professional with multi-specialty coding experience, denial management expertise, and strong Excel capabilities, we'd love to hear from you. Send your resume to mariyam@opticlaim.co or apply directly via LinkedIn.

Be part of the OptiClaim difference. Your expertise powers better healthcare outcomes.

Who can apply:

Only those candidates can apply who:

• have minimum 2 years of experience

Salary:

Competitive salary

Experience

2 year(s)

Deadline:

2035-01-01 00:00:00