Medical Coder

The Cigna Group

Remote Medical Coder assigning E/M, ICD-10-CM, CPT, and HCPCS codes for Cigna health services. Ensuring compliant reimbursement, audits, documentation quality, and coding accuracy.

Posted 8/25/2026full-timeRemote • Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Missouri, New York, Ohio, Pennsylvania, Texas, Utah, Vermont, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $21 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in medical coding, particularly in Evaluation and Management (E/M) coding, with a strong understanding of ICD-10-CM, CPT, and HCPCS guidelines. Maintains compliance with regulatory requirements and coding standards while effectively communicating updates and trends to leadership.

Highest-signal resume keywords

Medical Coding ExperienceICD-10-CM KnowledgeCPT ProficiencyCertified Professional Coder (CPC)Emergency Department Coding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

E/M CodingICD-10-CMCPTHCPCSCoding GuidelinesHealthcare ReimbursementCoding StandardsQuality AssuranceFraud IdentificationDocumentation Review

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsWritten CommunicationVerbal Communication

Tools & Technologies

Electronic Medical RecordsCoding ApplicationsMicrosoft Office

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Professional Coder-Hospital (CPC-H)Certified Coding Specialist (CCS)Certified Coding Specialist-Physician Based (CCS-P)Certified Evaluation and Management Coder (CEMC)

Industry Keywords

Emergency Department CodingPayment IntegrityClaim ReviewFraud Waste AbuseRegulatory ComplianceHIPAA Compliance

About the role

Key responsibilities & impact

Accurately assign E/M, ICD-10-CM, CPT, HCPCS, modifiers, and quantities based on medical record documentation for Emergency Department facility and professional fee encounters
Review clinical documentation to ensure code assignment is supported and compliant with coding guidelines and regulatory requirements
Apply coding standards and payer-specific requirements for accurate reimbursement and claim adjudication
Maintain proficiency in Emergency Department coding concepts, documentation requirements, and reimbursement methodologies
Adhere to quality assurance standards and coding accuracy requirements
Stay current with ICD-10-CM, CPT, HCPCS, CMS, AMA, and other regulatory coding updates
Ensure compliance with federal, state, accreditation, privacy, organizational, and HIPAA requirements
Identify and refer potential fraud, waste, abuse, or questionable billing practices
Meet productivity, quality, and turnaround-time expectations
Manage multiple assignments and competing priorities while maintaining accuracy and compliance
Support continuous improvement initiatives related to coding quality, workflow efficiency, and regulatory compliance
Provide leadership with feedback on coding trends, documentation concerns, and reimbursement issues
Serve as a coding resource and subject matter expert for peers, leaders, and cross-functional partners
Assist with escalated coding reviews, problem resolution, and complex coding scenarios
Communicate coding updates, trends, regulatory changes, and identified risks to leadership
Advise management of concerns raised by healthcare professionals, providers, or business partners
Demonstrate professionalism, collaboration, and effective communication in internal and external interactions

Requirements

What you’ll need

High School Diploma or GED required
Minimum of three (3) years of medical coding experience focused on Evaluation and Management (E/M) coding, or equivalent experience in Payment Integrity, claim review, audit, or healthcare reimbursement operations
Current coding certification required: Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P)
Strong knowledge of ICD-10-CM, CPT, HCPCS, and E/M coding guidelines
Knowledge of healthcare reimbursement methodologies and payer requirements
Excellent analytical, organizational, and problem-solving skills
Strong written and verbal communication skills
Proficiency with electronic medical records, coding applications, and Microsoft Office products
Ability to work independently and collaboratively in a fast-paced environment
Certified Evaluation and Management Coder (CEMC) certification a plus
Emergency Department coding experience a plus
Knowledge of payment integrity, claim review, and fraud, waste, and abuse identification
If working from home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote work arrangement
Cable broadband or fiber optic internet service requirement with at least 10Mbps download/5Mbps upload for home working