Senior Medical Coder - US Healthcare

Gulf Coast RCM and Billing Solutions is a high-growth startup on a mission and we are on a mission to redefine "Concierge-Level" high-performance RCM and clinical solutions. We help specialized medical practices across the US build elite remote teams for Scribing, Coding, Billing, and Front-Office operations.

Our mission is centered on our Clients, our People, and Operational Excellence, ensuring that every interaction adds value to the healthcare ecosystem.

Join us at the ground floor of a company designed to lead. Experience unparalleled professional growth with Gulf Coast RCM and Billing Solutions; where we are redefining the essence of offshore healthcare management.

Job Description:

We are looking for an experienced and detail-oriented

Medical Coder

with expertise in Gastroenterology coding. The candidate will be responsible for reviewing medical records, assigning accurate ICD-10, CPT, and HCPCS codes, ensuring compliance with payer guidelines, and supporting revenue cycle optimization for GI procedures and services.

The ideal candidate should possess strong knowledge of Gastroenterology specialty coding, medical terminology, anatomy, and reimbursement methodologies along with relevant coding certifications.

Key Responsibilities

Review and analyze medical records, physician documentation, operative notes, and diagnostic reports for accurate code assignment.

Assign appropriate:

ICD-10-CM diagnosis codes

CPT procedure codes

HCPCS Level II codes

Perform coding for Gastroenterology procedures including:

Colonoscopy

EGD (Esophagogastroduodenoscopy)

ERCP

Sigmoidoscopy

Capsule Endoscopy

GI biopsies and therapeutic procedures

Ensure compliance with:

CMS guidelines

AMA coding standards

HIPAA regulations

Payer-specific coding policies

Identify documentation gaps and query providers when clarification is required.

Maintain coding accuracy and productivity targets.

Support denial management and coding audits.

Participate in internal quality reviews and process improvement initiatives.

Stay updated with coding changes, payer updates, and industry regulations.

Required Skills \& Knowledge

Strong understanding of:

Gastroenterology anatomy and procedures

Medical terminology

ICD-10-CM

CPT \& HCPCS coding

Modifier usage

NCCI edits

Knowledge of medical billing and reimbursement methodologies.

Familiarity with EMR/EHR systems. (ECW) Preferred

Good analytical and communication skills.

Ability to work independently and meet productivity targets.

Required Certifications

Candidates should possess at least one of the following certifications:

Certified Professional Coder (CPC) – from AAPC

Certified Coding Specialist (CCS) – from AHIMA

Certified Outpatient Coder (COC)

CIC / Specialty certifications are an added advantage.

Preferred Qualifications

Education:

Any Life Science Graduate / Pharmacy / Nursing / Medical background preferred.

Experience:

2–6 years of medical coding experience.

Minimum 1–2 years of Gastroenterology coding experience preferred.

Flexible to work in rotational or night shifts if required.

Productivity as per client benchmarks

Reduced coding denials

Compliance audit scores

Turnaround Time (TAT)