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Vytalize Health
Finance & Accounting 6h ago

Certified Medical Coder

Vytalize Health
United StatesUnited States
Full-time
Not Disclosed
Mid-Level

Job Description

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As a Certified Medical Coder at Vytal Health Partners (VHP), you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes. You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards.

In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence. This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations.

Vytal Health Partners (VHP) is a growing organization affiliated with Vytalize Health, helping independent physicians offload administrative work so they can focus on patients. VHP is in an exciting growth stage, and now's a great time to join.

What you will do

  • Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and compliance with regulatory requirements.
  • Review and analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes.
  • Research payer policies, coding guidelines, and medical record documentation to support denial appeals, claim corrections, and reconsideration requests when appropriate.
  • Collaborate with billing and operational teams to resolve coding-related claim issues, reduce recurring denials, and improve first-pass claim acceptance rates.
  • Monitor coding, billing, and denial trends; prepare reports and collaborate with leadership and operational teams to implement process improvements, coding edits, and workflow enhancements that support compliance and reimbursement optimization.
  • Stay current on changes to coding regulations, reimbursement methodologies, payer policies, and industry best practices through ongoing education and professional development.

What you will need

Experience

  • Two years of experience in medical record coding and denial management
  • Podiatry coding experience required

Skills & Competencies

  • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines, medical terminology, anatomy and physiology, and applicable payer, regulatory, and reimbursement requirements.
  • Proficiency with coding encoder software, electronic medical record (EMR) systems (EPIC experience preferred but not required), Microsoft Office applications, and other healthcare technology platforms.
  • Knowledge of Medicare, Medicaid, and commercial payer policies, including documentation, coding, reimbursement, and compliance requirements.
  • Strong analytical and problem-solving skills with the ability to research coding regulations, interpret payer policies, identify root causes of denials, and develop effective solutions.
  • Ability to review, interpret, and apply complex medical documentation, coding guidelines, policies, procedures, laws, and regulations.
  • Experience reviewing and resolving coding-related denials, underpayments, and payer audit findings preferred.
  • Ability to exercise sound independent judgment while maintaining a high degree of accuracy, attention to detail, and professionalism.
  • Excellent written and verbal communication skills.
  • Strong interpersonal skills with the ability to build collaborative working relationships with providers, operational leaders, and revenue cycle teams.
  • Demonstrated commitment to confidentiality, ethical conduct, and compliance with HIPAA and organizational policies.

Certifications & Licenses

  • Certified Professional Coder (CPC) issued by the American Academy of Professional Coders (AAPC), or
  • Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA), or
  • Registered Health Information Technician (RHIT) issued by the American Health Information Management Association (AHIMA)

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Vytalize Health

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Vytalize Health is a premier, enterprise-grade value-based care (VBC) and Accountable Care Organization (ACO) platform engineered to orchestrate massive-scale clinical primary-care ecosystems and intelligent frictionless patient-outcomes workflows. Operating as a highly integrated, physician-empowerment clinical hub, the company eliminates the operational friction of traditional fragmented fee-for-service payment models by seamlessly deploying advanced predictive-data telemetry, rigorous in-home and virtual care-coordination architectures, and cohesive CMS-aligned value-based shared-savings frameworks. Moving beyond rigid legacy healthcare administration, Vytalize Health empowers private practices, multi-specialty group networks, and community health centers to dynamically synchronize their clinical pipelines with elite autonomous execution—reducing burnout, improving diagnostic accuracy, and optimizing reimbursement pathways. Under the hood, their sophisticated proprietary data infrastructure—Vytal Insights™—natively handles complex patient-history ingestion across disparate electronic health records, instantaneous clinical risk-stratification routing, and automated collaborative network building (Vytal Network) to ensure holistic patient touchpoints between traditional office visits. What sets Vytalize Health apart is its uncompromising dedication to frictionless clinical orchestration; by bridging the gap between highly technical federal value-based regulatory compliance and accessible, high-touch physician-led care experiences, the platform empowers primary care leaders to radically accelerate their practice viability, optimize holistic patient-centric outcomes, and build an unassailable foundation for continuous commercial and therapeutic dominance in the modern healthcare landscape.

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Certified Medical Coder at Vytalize Health | HireSkys