Certified Coding Specialist

Job Summary

To support enterprise billing compliance in a remote setting, the full-time Coding Reimbursement Specialist III will manage complex coding tasks, including assigning CPT and ICD codes, while ensuring accurate charge entry and compliance with payer-specific rules.

Key responsibilities

• Assign CPT and ICD codes for moderate to high complexity cases, ensuring accurate charge information is entered
• Perform reconciliation processes to capture all charges and communicate effectively with team members and management
• Research and analyze coding and payer-specific issues to ensure compliance and accuracy in billing

Required qualifications

• High School Diploma or GED required
• Minimum of 2 years of coding experience required
• Coding certification (CPC, CCS, RHIT, RHIA) is required and must be maintained
• Extensive knowledge of medical terminology, anatomy, physiology, and coding practices
• Ability to apply payer-specific rules regarding coding, bundling, and modifiers