Medical Coder - Wound Care

Job Description

Job Description

Medical Coder – Wound Care (Long-Term Care)

About Us

Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines.

We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities.

Key Responsibilities

Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements

Code independently without reliance on a provider superbill , using clinical notes and documentation as the source of truth

Release daily coding batches to support timely revenue cycle processing

Code red-label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details

Assist and work closely with the billing team to correct coding errors and resolve claim rejections / denials

Generate detailed coding reports and batch logs for submission to the Director of Operations

Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance

Monitor payer and CMS updates impacting wound care coding, documentation, and compliance

Maintain coding accuracy, productivity standards, and adherence to compliance regulations

Qualifications

Certification strongly preferred : CPC (Certified Professional Coder), CCS, or equivalent

Minimum 2 years of experience in medical coding; wound care or long-term care experience highly preferred

Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines

Ability to code directly from clinical notes / documentation without superbill support

Experience coding cellular tissue / red-label products a plus

Proficient in generating coding reports, logs, and error correction documentation

Detail-oriented with excellent organizational skills and ability to manage coding batches daily

Comfortable working independently with minimal supervision

What We Offer

Competitive compensation package

Opportunity to specialize in wound care and advanced procedures in the long-term care space

Supportive team environment focused on compliance and patient-centered outcomes