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Medical Coder
Spring, TX

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Spine & Rehab Partners

Medical Coder

Job Description

POSITION SUMMARY
We are seeking a detail-oriented Medical Coder with 2-4 years of hands-on experience to accurately assign diagnosis and procedure codes for a multi-disciplinary rehabilitation practice. The ideal candidate has direct coding experience across chiropractic, physical therapy, occupational therapy, and speech therapy services, and is proficient working within eClinicalWorks (eCW). This role is essential to ensuring clean claim submission, timely reimbursement, and full compliance with payer and regulatory requirements. Our revenue cycle team supports Chiropractic, Physical Therapy, Occupational Therapy, & Speech-Language Pathology
KEY RESPONSIBILITIES
Review clinical documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes for chiropractic, PT, OT, and speech therapy encounters. Code chiropractic manipulative treatment (CMT) visits, including appropriate use of AT modifiers and medical necessity documentation. Enter and reconcile charges within eClinicalWorks, ensuring coding matches provider documentation and treatment plans. Identify and resolve coding-related claim denials, rejections, and edits; resubmit corrected claims as needed. Conduct routine chart audits to confirm documentation supports the billed level of service and medical necessity. Stay current on payer-specific coverage policies, LCD/NCD updates, and annual
CPT/ICD-10
code changes affecting rehab therapy and chiropractic care. Communicate with providers and therapists to clarify documentation and support accurate, compliant coding. Maintain compliance with
HIPAA, CMS
guidelines, and payer-specific billing requirements. Collaborate with the billing team to support timely, accurate claim submission and reduce coding-related denials.
REQUIRED QUALIFICATIONS 2-4
years of professional medical coding experience, with direct experience coding for chiropractic and rehabilitation therapy services (PT/OT/Speech). Hands-on experience using eClinicalWorks (eCW) for charge entry, coding, and claims workflows. Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Solid understanding of therapy-specific billing rules, including timed vs. untimed codes, unit calculations, and modifier usage. Familiarity with chiropractic coding requirements, including CMT codes and AT modifier/medical necessity standards. Knowledge of Medicare, Medicaid, and commercial payer coding and documentation requirements for outpatient therapy and chiropractic services. Strong attention to detail and accuracy under production/coding deadlines. Excellent written and verbal communication skills for provider and payer interactions.
EDUCATION & CERTIFICATION
High school diploma or equivalent required; Associate's degree in Health Information Management, Medical Billing/Coding, or related field preferred. Must hold one of the following active certifications: CCS
  • Certified Coding Specialist (AHIMA) CCA
  • Certified Coding Associate (AHIMA) CCS-P
  • Certified Coding Specialist
  • Physician-Based (AHIMA) CPC
  • Certified Professional Coder (AAPC)
WORK ENVIRONMENT
Remote, work from home. This job description is intended to convey information essential to understanding the scope of the role and is not an exhaustive list of responsibilities, skills, or qualifications.
Pay:
$22.00
  • $26.00 per hour Expected hours: 35.0
  • 40.
0 per week
Benefits:
401(k) Dental insurance Health insurance Life insurance Retirement plan Vision insurance Application Question(s): Which of the following have you directly coded? (Select all that apply.) Chiropractic/CMT Physical Therapy (PT) Occupational Therapy (OT) Speech-Language Pathology (SLP) None of the above
Experience:
Medical coding: 2 years (Preferred)
Work Location:
Hybrid remote in Spring, TX 77380

Benefits

  • 401(k) Plans
  • Other Retirement and Savings
  • Health Insurance
  • Dental Insurance