Certified Coder

Netsmart

Certified Coder validating DRGs and auditing outpatient medical records for Netsmart. Applying CPT, HCPCS, and ICD-10 standards to maintain compliant billing accuracy.

Posted 8/4/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding, including CPT, HCPCS, and ICD-10 systems, while ensuring compliance with coding guidelines and regulations. Proficient in conducting DRG validation and producing detailed documentation and reports to support audits and quality control.

Highest-signal resume keywords

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Outpatient Coder (COC)Inpatient Medical Coding ExperienceDRG Validation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10 CodingDRG ValidationMedical Record ReviewBilled Services AuditCompliance with Coding GuidelinesDetailed Documentation ProductionAnalytical SkillsQuality Control in Coding

Soft Skills

Interpersonal SkillsCommunication SkillsAnalytical Thinking

Tools & Technologies

Virtual Collaboration Tools

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Outpatient Coder (COC)

Industry Keywords

Medical CodingDRG ValidationHealthcare CompliancePayer AuditsGovernmental Audits

About the role

Key responsibilities & impact

Conduct reviews and recommend corrections of billed services for medical records to ensure accuracy and compliance with coding guidelines and regulations
Conduct DRG validation based on clinical documentation and coding
Review and audit billed services and recommend corrections related to clinical documentation
Assist with payer and governmental audits of billed services
Apply new coding guidelines and codes while maintaining expertise in CPT, HCPCS, and ICD-10 coding systems
Meet daily accuracy and production standards
Collaborate with healthcare team members to ensure continuity of services and clarity in clinical documentation
Produce detailed documentation and reports

Requirements

What you’ll need

High school diploma or GED
One or more required credentials: Certified Coding Specialist (CCS) through AHIMA; or Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) through AAPC
At least 1 year of inpatient medical coding with DRG validation work experience
Strong analytical, interpersonal, and communication skills
Ability to produce detailed, comprehensive documentation and reports
Passing scores on job-related pre-employment assessments
Preferred: experience in coding or medical billing quality control
Comfortable with remote work arrangements and virtual collaboration tools
Ability to meet physical demands including extended periods of sitting, computer use, and telephone communication
Legally authorized to work in the United States
Netsmart does not provide work visa sponsorship

Benefits

Comp & perks

Fully remote work arrangement
Full-time employment
Pre-employment background check and drug screen provided at Netsmart’s sole expense
Equal employment and advancement opportunities
Inclusive workplace environment