versemedical - Certified Professional Coder (CPC), DME

• Active CPC (AAPC) or CCS (AHIMA) certification, with 3+ years coding or billing DMEPOS specifically. Credentials like CPMA, CPCO, or a DME-specific certification are a plus. • Fluency in HCPCS Level II and DME modifiers. KX, GA, GY, GZ, RR, NU, UE, RT/LT and the rest are second nature to you, along with the ICD-10-CM coding that has to support them. • Command of coverage policy: DME MAC LCDs and policy articles, standard written order and proof of delivery rules, capped rental schedules, state Medicaid DME manuals, and commercial medical policy. • Hands-on denials and appeals experience. You can read a remit, tell a coding problem from a documentation problem from a contract problem, and write the appeal that wins. • A habit of writing things down. You build SOPs, criteria matrices, and training material rather than keeping the rules in your head. • Comfort with data and systems. Strong spreadsheet skills, and ideally some experience pulling your own reporting. • Comfort with ambiguity and speed. We move quickly, the process often does not exist yet, and you will be the one to build it. • OUR TEAM & OUR TOOLS • You'll be joining the Revenue Cycle Management team, a group of talented innovators who value pragmatism, simplicity, and speed of execution. We collaborate closely and believe the best ideas can come from anywhere. • The tools and systems you'll use include: • Coding & policy: AAPC Codify or an equivalent encoder, the CMS DMEPOS fee schedule, the Medicare Coverage Database for LCDs and policy articles, and state Medicaid DME manuals • Claims systems: our internal order and billing platform, clearinghouse and payor portals • Data & reporting: Metabase and Google Sheets • Collaboration: Slack and Google Workspace • THE REWARDS & REALITY: COMPENSATION, BENEFITS & LOGISTICS • We believe in taking care of our team, both professionally and personally. Here’s what we offer: