Medical Coder Quantum Medical Solutions

LLC - 3.7

Omaha, NE Job Details 11 hours ago Qualifications Anatomy knowledge Certified Professional Coder Full Job Description Medical Coder QuantumCare Wound Care | Nebraska's Exclusive Independent Wound Care Partner QuantumCare is transforming the way healthcare is delivered. As a trusted participating provider within the Methodist Health Partners network and Nebraska's only independent wound care center, we provide comprehensive services designed to support patients throughout every stage of their wound care journey. From advanced wound care and chronic condition management to transitional care, our experienced team brings compassionate, specialized treatment directly to patients—where they live, recover, and thrive. The Medical Coder plays a critical role in supporting the financial and operational integrity of the organization. This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, and ensuring compliance with payer guidelines and regulatory standards. The Medical Coder works closely with providers and revenue cycle teams to promote accurate documentation, reduce denials, and support timely reimbursement. Core Responsibilities Review and analyze patient medical records to accurately assign diagnosis and procedure codes using ICD-10, CPT, and HCPCS classification systems. Ensure coding accuracy and compliance with payer policies, federal and state regulations, and documentation standards to support timely and appropriate reimbursement. Collaborate with providers and clinical staff to clarify documentation, obtain additional information, and ensure complete and accurate coding. Submit coded encounters to the billing system to facilitate insurance claim processing and reimbursement. Conduct internal coding audits and validations to identify discrepancies, reduce denials, and strengthen revenue cycle performance. Maintain current knowledge of coding guidelines, payer requirements, and regulatory updates to ensure ongoing compliance and accuracy. Other duties as assigned. Experience & Qualifications Strong working knowledge of medical terminology, anatomy, and physiology to ensure accurate assignment of diagnostic and procedural codes. Demonstrated attention to detail with the ability to maintain a high level of accuracy in coding, documentation review, and data entry. Proficiency in medical coding software, electronic health records (EHR) systems, and related databases, with strong technical and data management skills. Current certification as a Certified Professional Coder (CPC, through a recognized organization such as AAPC. Equal Opportunity Employer QuantumCare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.