Certified Coding Specialist

Job Summary

To support independent hospitals, the full-time remote Certified Coding Specialist will review medical records for appropriate billing codes, perform advanced coding and appeal activities, and investigate payer issues while ensuring timely filing of appeals to insurance companies.

Key responsibilities:

• Review documentation to identify facts for appealing claims denied by third-party payers and create letters to substantiate claims
• Collaborate with facility liaisons to resolve coding issues and provide documentation feedback for developing appeals
• Research payer policies and processes while managing assigned work queues and reviewing remittance advice for rejections

Required qualifications:

• Valid CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC credentials
• Three or more years of coding experience
• Knowledge of ICD-10 and CPT coding
• Proficiency in Microsoft Office, including Outlook, Excel, and Teams
• Experience working in a remote environment