Certified Medical Coder

The Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies. The role involves collaborating with providers, clinical leadership, and billing staff to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement across behavioral health, primary care, and substance use treatment operations.