Urgent Care Medical Coder & Revenue Audit Specialist

Job Overview
Our client is seeking an experienced Urgent Care Medical Coder & Revenue Audit Specialist with knowledge of medical coding and billing. The ideal candidate will have experience in urgent care billing or professional medical billing and be comfortable reviewing clinical documentation, validating CPT, HCPCS, ICD-10-CM, NDC codes, modifiers, and ensuring claims meet payer-specific billing requirements.
Our client is looking for a knowledgeable, detail-oriented, and proactive coder who can independently review documentation, validate coding, identify billing issues, and ensure claims are accurately prepared before submission. The ideal candidate understands that accurate coding goes beyond selecting a CPT code. They should be able to evaluate documentation, modifiers, NDC/HCPCS reporting, payer requirements, and claim structure to help prevent denials and ensure appropriate reimbursement. Candidates should be comfortable researching payer guidelines, identifying problems, and bringing solutions—not simply identifying errors.
Client Overview
OC Urgent Care is an equal opportunity employer. They value a professional, collaborative, and accountable work environment and encourage qualified candidates with relevant coding and billing experience to apply.
Schedule: Monday - Friday, 8:30 AM - 5:00 PM PST, with 1 hour unpaid break (40 work hours per week)
Responsibilities
Review medical records and encounter documentation to ensure services are appropriately supported and accurately coded.
Confirm appropriate CPT, HCPCS, ICD-10-CM, NDC codes, and modifiers based on the documentation.
Review coding for urgent care and outpatient professional services.
Validate appropriate use of CPT modifiers, including but not limited to 25, 59, 76, 77, 91, LT/RT, and other applicable modifiers.
Review NDC coding and medication billing, including units and appropriate claim reporting.
Understand and accurately apply professional billing and split-claim billing requirements.
Review claims for coding and billing accuracy prior to submission.
Identify documentation deficiencies, coding errors, incorrect modifiers, missing information, and potential payer denials.
Apply knowledge of Medicare, Medi-Cal/Medicaid, commercial, and other payer-specific billing policies.
Research payer policies and billing guidelines when necessary.
Assist with denial prevention by identifying recurring coding and billing issues.
Review claim edits and rejections and determine appropriate corrections.
Maintain accuracy and productivity while meeting required turnaround times.
Communicate coding and documentation issues clearly with billing and clinical staff.
Stay current with CPT, HCPCS, ICD-10-CM, NCCI edits, NDC requirements, and payer billing guidelines.
Requirements
AAPC certification required; CPC preferred.
Minimum 2 years of professional medical coding and billing experience.
Experience in either urgent care billing OR professional medical billing is required.
Strong knowledge of CPT, HCPCS, ICD-10-CM, NDC codes, and modifiers.
Understanding of professional claim billing and claim submission requirements.
Experience with or knowledge of split-claim billing.
Understanding of payer-specific billing policies and reimbursement guidelines.
Experience reviewing clinical documentation to determine appropriate coding.
Knowledge of NCCI edits and appropriate modifier application.
Strong attention to detail and accuracy.
Strong analytical and problem-solving skills.
Ability to work independently in a remote environment.
Strong written and verbal communication skills.
Reliable internet connection and appropriate remote workspace required.
Preferred Qualifications
Experience with eClinicalWorks (eCW) or a similar EMR/billing system.
Experience with Medicare, Medi-Cal/Medicaid, and commercial payers.
Experience coding and billing Urgent Care or Professional services, procedures, injections, medications, laboratory testing, diagnostic testing, wound care, and IV hydration.
Experience identifying and correcting coding-related claim denials.
Experience with coding audits or quality assurance.
Independent Contractor Perks
Health Insurance Coverage for eligible locations
Permanent work from home
Immediate hiring
Note
Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.
One application, multiple possibilities:
When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.

Work arrangement
Yes