Remote Certified Medical Coder – Primary Care (Value-Based Care Focus)

• *Please note that this role is a w-2 contractor role, thus there will be no benefits or PTO. (However, it is not temporary and will be full-time) Job Summary We are seeking an experienced Certified Medical Coder with expertise in primary care, value-based care (VBC), and “Incident To” billing rules. In this role, you’ll manage coding for a high-volume primary care practice — including E/M visits, Annual Wellness Visits, preventive services, and chronic condition management. You’ll ensure accurate risk adjustment (HCC/RAF) capture, apply “Incident To” compliance correctly, and collaborate with billing staff to minimize denials and maximize reimbursement. Success in this role is measured by first-pass acceptance rate of claims, low coding-related denial rates, RAF/HCC completeness, and timely charge entry – all of which directly impact the practice’s cash flow and quality metrics. If you’re an AAPC or AHIMA certified coder who enjoys autonomy, data-driven problem solving, and collaboration with providers to improve documentation, we’d love to meet you! FYI - the role will be working eastern standard times. Key Responsibilities • Review provider documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes. • Capture HCCs and chronic conditions to ensure accurate risk adjustment and RAF scoring. • Apply CMS rules for “Incident To” encounters, ensuring proper provider supervision and compliant claim structure. Flag documentation gaps that risk compliance. • Code Annual Wellness Visits (AWVs), preventive services, and common office procedures. • Enter and validate codes in Athenahealth (athenaOne) and scrub claims for errors. • Collaborate with billing staff to minimize denials and rejections. • Assist with denial management, coding audits, and compliance reviews. • Provide feedback to providers to improve documentation and coding accuracy. Requirements • 5+ years of medical coding experience (primary care or family medicine focus). • Active CPC, CCS-P, or equivalent certification (CRC a plus). • Strong knowledge of value-based care programs (Medicare Advantage, ACOs, HCC/risk adjustment). • Hands-on “Incident To” billing experience in primary care, including compliance with CMS guidelines. • Proficiency in Athenahealth is a must (at least 3 recent years). • Strong grasp of ICD-10-CM, CPT, HCPCS, and CMS coding guidelines. • Proven ability to code 50–100 encounters/day with 95%+ accuracy. If you are a coding expert eager to leverage your skills in a forward-thinking value-based care environment, we encourage you to apply. Join us in ensuring patients receive the right care and the practice receives the accurate reimbursement it deserves through quality coding! Job Types: Full-time, Contract Pay: $23.00 per hour Application Question(s): • Which active coding credential do you hold? • How many years of experience do you have with AthenaHealth EMR? • How many years of outpatient coding experience do you have with Primary Care/Family Medicine? • Do you have VBC/HCC coding experience? If so, how many years? • How many years of direct experience with CMS “Incident To” billing and compliance requirements do you have? • Are you able to work full-time EST hours, remotely, with a HIPAA-compliant workspace? • What is your internet download/upload speed? (via speedtest) Work Location: Remote Apply tot his job