Certified Coding Specialist

Job Summary

To support a high-volume coding environment, the full-time remote Certified Coding Specialist will assign accurate diagnosis and procedure codes for various ambulatory encounters, ensuring compliance with official coding guidelines and payer policies.

Key responsibilities:

• Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters
• Resolve coding-related claim rejections and denials by reviewing payer responses and applying corrected codes
• Maintain coding accuracy at or above client-defined thresholds while meeting daily productivity targets

Required qualifications:

• High School Diploma or GED
• 3-5 years of ambulatory, inpatient, or outpatient coding experience in a healthcare environment
• Current coding certification through AAPC or AHIMA preferred
• Expert command of ICD-10-CM, CPT, HCPCS, and modifier rules
• Proficiency with encoder tools and EHR/PMS systems