Certified Coding Escalation Specialist

Job Summary

A company is looking for a Coding Escalation Specialist responsible for handling complex coding issues and providing expert-level support to the medical coding team.

Key Responsibilities

• Review and resolve escalated coding issues from various stakeholders
• Analyze medical records to ensure accurate and compliant code assignment
• Educate and mentor coding staff on complex cases and coding regulations

Required Qualifications

• Minimum 3-5 years of experience in medical coding, focusing on complex case review or coding quality assurance
• AAPC or AHIMA certification required
• Expert-level knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Strong understanding of CMS regulations and payer-specific guidelines
• Experience with electronic health records (EHRs) and coding software systems