We are looking for an experienced Medical Coder - Rheumatology with strong expertise in Evaluation & Management (E/M), Infusion & Injection services, Joint and Tendon Injections, Trigger Point Injections, Laboratory Coding, and Rheumatology-specific procedures. The ideal candidate should possess strong knowledge of CPT, ICD-10-CM, HCPCS coding, modifier usage, and payer guidelines
Required Experience
- Minimum 2-5 years of medical coding experience, preferably in Rheumatology or Internal Medicine.
- Proven experience coding:
- E/M Services (99202-99215)
- Prolonged Visit Coding (G2211)
- Infusion & Injection Services (96365-96379, 96413, 96415, 96372)
- Biologic Drug Administration and HCPCS Coding (J0129, J0717, J0897, J1602, J1745, J3262, Q5121, etc.)
- Joint Injections/Aspirations (20605, 20610)
- Tendon and Trigger Point Injections (20550, 20551, 20552)
- Rheumatology Laboratory Services
- Diagnostic Radiology Coding
- Modifier 25, 59, XS, and other applicable modifiers
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
- Understanding of Rheumatology medications and infusion protocols.
- Familiarity with NCCI edits, LCD/NCD policies, and payer-specific requirements.
- Ability to review provider documentation and ensure coding compliance.
- Experience handling coding denials, appeals, and provider queries.
- Working knowledge of EMR/EHR systems.
Preferred Certifications
- CPC (AAPC)
- COC (AAPC)
- CCS (AHIMA)
