Certified Coding Specialist

Job Summary

To ensure accurate and compliant coding of hospital and professional services, the full-time remote Certified Coding Specialist will review clinical documentation, assign appropriate codes, and maintain compliance with regulatory requirements across multiple specialties, primarily focusing on surgery.

Key responsibilities

• Review and analyze clinical documentation to assign accurate diagnosis, procedure, and service codes for billing
• Code inpatient, outpatient, emergency department, and ambulatory surgery encounters according to official coding guidelines
• Participate in coding quality reviews, audits, and assist in denial management and revenue cycle optimization efforts

Required qualifications

• High School Diploma or GED; Associate's degree in a related healthcare field preferred
• Active coding credentials such as CPC, CCS, CIC, COC, or CRC; RHIT or RHIA preferred
• 5+ years of experience in hospital coding for professional fee and facility
• Experience with at least 2 major hospital EMR platforms and coding encoders
• Strong working knowledge of ICD-10-CM, PCS, CPT, HCPCS, and modifiers