Medical Coder Specialist
Hearst · Carmel · $47,000–$57,000 (stated in the posting)
In Some Jobs You Take Orders. In This One, You Write History.
Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.
We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth.
Are you ready for this exciting challenge?
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First Databank (FDB) is currently seeking a Medical Device Coder in the Quality department. This position is responsible for researching data published from the FDA, device manufactures, and other credible sources to generate unbiased, robust medical device content for our device solution with an emphasis on HCPCS coding for medical devices.
This position is based out of our Carmel office and follows a hybrid work model, with an expectation to work onsite at least three days per week.
Responsibilities:
- Researches pertinent information from various sources such as manufacturers and CMS to assign the Healthcare Common Procedure Coding System (HCPCS) codes, to medical device content.
- Update and maintain our HCPCS library through detailed research.
- Uses research to develop and maintain HCPCS mapping and wizard.
- Provides training to staff members.
- Ensure accuracy of codes applied to devices using data audits, validations and reviews.
- Updates HCPCS codes as changes are made to GMDN and/or UNSPSC categories.
- Evaluates current categorization schema and provides feedback and training to categorization staff.
- Evaluates medical device content to ensure the accuracy of HCPCS mappings.
- Follows up with manufacturers when code assignments are not straightforward or data is inadequate, ambiguous, or unclear for coding purposes.
- Ensures updates from CMS are applied to data in a timely manner using maintenance tools.
- Ensures accuracy of codes and codes are current and active.
- Searches for information in cases where the coding is complex or unusual.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
- Keeps abreast of and complies with coding guidelines and reimbursement reporting requirements
Required Skills:.
- Ability to research devices, categories, and HCPCS codes leading to the development of a library.
- Expertise in oral and written communications -ability to clarify and discuss coding issues with peers.
- Able to multi-task and prioritize tasks.
- Good written and verbal communication skills.
- Attention for detail and strong organizational skills.
- Medical terminology and coding.
- Ability to use web based and computer applications and work with peers in team situations.
- Takes initiative in performing additional tasks.
- Ability to use approved AI tools, including ChatGPT Projects and Custom GPTs, to support medical device coding research, HCPCS data analysis, content validation, audit review, and workflow efficiency.
- Skilled in developing structured prompts and reusable AI-assisted workflows to compare source data, identify inconsistencies, summarize research findings, and support coding-related decision making.
- Demonstrates responsible use of AI by validating all AI-generated outputs against credible sources, official coding guidance, internal standards, and professional judgment.
- Maintains compliance with data privacy, company security policies, ethical coding standards, and appropriate human oversight when using AI tools.
Relevant Experience:
- Minimum of 2-3 years of medical coding experience in a healthcare setting, including outpatient clinics, ambulatory surgical centers (ASCs), home health, or Durable Medical Equipment (DME) settings.
- Experience assigning or auditing HCPCS Level II code sections, including A-codes, C-codes, or E-codes.
- Experience reviewing or resolving Medicare and Medicaid claim denials involving medical necessity, unlisted HCPCS codes, or Medically Unlikely Edits (MUEs).
- Experience researching and applying Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs).
- Previous experience in supply chain management or medical device industry preferred.
- Active coding certification from AAPC or AHIMA. Relevant credentials include: Certified Professional Coder (CPC) certification, Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS).
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About FDB:
FDB is the leading provider of drug and medical device knowledge that helps healthcare professionals make precise decisions. With thousands of customers worldwide, FDB enables our information system developer partners to deliver valuable, useful, and differentiated solutions. We offer more than three decades of experience in transforming medical knowledge into actionable, targeted, and effective solutions that help improve patient safety, operational efficiency, and healthcare outcomes. For a complete look at our solutions and services, please visit www.fdbhealth.com or follow us on and LinkedIn.
We value Integrity, Respect, Responsibility, Teamwork, and Creativity. Our offices in South San Francisco and Indianapolis have been awarded with Top Workplaces honors by The Bay Area News Group and the Indy Star, since 2016 (the Top Workplaces honors are based solely on the results of an employee feedback survey by a leading research firm that specializes in organizational health and workplace improvement). FDB offers competitive salaries and extensive benefits – including medical, dental, vision, long term disability, life insurance, and matching 401k.
First Databank, Inc. (FDB) endeavors to make www.fdbhealth.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please email accommodations@fdbhealth.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
This role is also eligible for a competitive benefits package that includes medical, dental, vision, life, and disability insurance; 401(k) retirement plan; flexible spending savings account; paid holidays; paid time off; employee assistance program; and other company benefits.
Compensation
The base salary range below is the Company's good-faith estimate for this position in the posted work location at the time of posting. Final starting salary will be based on permissible, non-discriminatory factors, including but not limited to skills, experience, training, certifications, education, location and market considerations.