Certified Coding Specialist

Job Summary

Working remotely in a full-time capacity, the Certified Coding Specialist will identify, review, and interpret third-party payments and coding denials for professional services, while performing hands-on coding and documentation review for ICD-9, ICD-10, and related tasks.

Key responsibilities

• Review and code denied professional services, ensuring appropriate use of CPT, ICD-9, ICD-10, and HCPCS codes
• Analyze rejected claims and patient inquiries, recommending coding corrections and reporting trends to the coding supervisor
• Monitor accounts receivable days and resolve claims issues through effective communication with third-party payers

Required qualifications

• High School diploma or equivalent, plus specialized training for a recognized Coding Certificate
• Certification as a CP, CPC-A, or CCS-P
• 1-2 years of experience in billing, coding, or denial management
• Knowledge of CMS regulations and coding guidelines
• Ability to work independently and demonstrate good judgment in problem-solving