Certified Coding Specialist

Job Summary

To support end-to-end revenue cycle management workflows, the full-time remote Certified Coding Specialist will assign accurate codes from clinical documentation, apply guidelines to enhance claim rates, and collaborate with various teams to improve performance while ensuring compliance with HIPAA standards.

Key responsibilities

• Assign accurate ICD-10-CM, PCS, CPT, and HCPCS codes from provider documentation and clinical records
• Review charts for specificity, medical necessity, and documentation gaps, escalating issues as needed
• Collaborate with billing, AR, compliance, and clinical teams to enhance revenue cycle performance

Required qualifications

• Active coding credentials such as CPC, CCS, CIC, COC, or CRC
• 3+ years of experience in medical coding for professional fee and facility
• Specialty coding experience in ER, IP, OBS, or Swing preferred
• Strong knowledge of ICD-10-CM, PCS, CPT, HCPCS, modifiers, and E/M guidelines
• Ability to work independently in a remote, metric-driven environment