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The Enlyv clinics

Medical Coder

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What they do

A Medical Coder organizes and reviews patient medical records and assigns codes for each diagnosis and treatment. Prepares coded information for use by health care insurers or for research. May retrieve information for clinicians and billing offices. Works in healthcare facilities.

$64,086 / year median in New Jersey

-6% projected decline

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Job Description

Medical Coder — Endocrinology & Metabolic Health EnLyv Clinics | New Jersey (multi-site) About EnLyv Clinics EnLyv Clinics is a physician-led outpatient endocrinology, metabolic health, and medical weight loss practice with four locations across New Jersey. Our PA-driven care model gives patients same-day and next-day access to specialty endocrine care — a level of responsiveness that is rare in this field. We are a growing practice that takes documentation and compliance seriously, and we are looking for a coder who wants to own that function rather than simply process claims. Position Summary The Medical Coder is responsible for accurate CPT, ICD-10-CM, and HCPCS Level II coding across all EnLyv locations, with an emphasis on endocrinology-specific services. This role sits at the center of our revenue cycle: reviewing provider documentation, assigning and validating codes, resolving denials, and partnering directly with our physicians and PAs to strengthen documentation at the point of care. This is a hands-on role with real autonomy. You will work directly with practice leadership on coding policy, payer-specific requirements, and internal audit. Key Responsibilities Review and code office visits, consultations, and procedures using current CPT, ICD-10-CM, and HCPCS Level II conventions Apply 2021+ E/M guidelines accurately, with correct use of medical decision-making vs. time-based selection, prolonged services, and modifiers (25, 59, XU, 95, etc.) Code and validate in-office diagnostic studies including ABI/lower extremity physiologic studies, lower extremity arterial duplex, autonomic nervous system testing, sudomotor testing, thyroid ultrasound, and abdominal ultrasound — including correct professional/technical component and bundling logic Support coding for continuous glucose monitoring (CGM), remote physiologic monitoring (RPM), chronic care management (CCM), diabetes self-management education, obesity/intensive behavioral therapy counseling, and telehealth services Verify medical necessity against Novitas JL LCDs/NCDs and commercial payer policies; flag encounters requiring an ABN and confirm proper ABN execution and modifier assignment Perform charge entry and pre-submission claim scrubbing; identify and correct errors before claims go out Work denials, underpayments, and rejections — research root cause, draft appeals with supporting documentation, and track resolution to completion Conduct routine internal chart audits and report findings, trends, and error patterns to practice leadership Provide clear, respectful documentation feedback and education to physicians and PAs Maintain coding accuracy standards (target 95%+) and stay current on annual code set changes, payer bulletins, and CMS updates Maintain strict HIPAA compliance and patient confidentiality at all times Required Qualifications Active coding certification: CPC, COC, CCS, or CCS-P (AAPC or AHIMA) 2+ years of professional-fee coding experience in an outpatient or specialty physician practice Strong working knowledge of
CPT, ICD-10-CM, HCPCS
Level
II, NCCI
edits, and modifier application Demonstrated command of current E/M documentation and coding guidelines Experience with EHR and practice management systems, and comfort working within a clearinghouse workflow Solid understanding of Medicare, Medicaid, and commercial payer rules Excellent attention to detail, follow-through, and written communication Preferred Qualifications Endocrinology, internal medicine, cardiology, or vascular coding experience Familiarity with Novitas Solutions (Jurisdiction JL) policies and New Jersey payer landscape Experience coding vascular/non-invasive diagnostic studies or point-of-care ultrasound Experience with GLP-1 and weight management coverage, prior authorization, and coverage documentation requirements Prior experience with denials management and appeal writing CRC (Certified Risk Adjustment Coder) or HCC coding experience What We Offer Competitive compensation with certification and experience factored in [Health, dental, and vision insurance] [Paid time off and paid holidays] [401(k) with employer contribution] [CEU reimbursement and annual certification renewal support] A collaborative, physician-led environment where coding accuracy is treated as a clinical priority, not an afterthought Growth into a lead coder / revenue cycle role as the practice expands How to Apply Apply directly through Indeed with your resume and a brief note about your specialty coding background. Questions about the role may be directed to HR@enlyv.com
Pay:
$19.00 - $21.00 per hour
Benefits:
401(k)
Work Location:
Hybrid remote in Bridgewater, NJ 08807