Certified Coding Specialist

Job Summary

To support a dynamic healthcare environment, the full-time remote Certified Coding Specialist will assign accurate diagnosis and procedure codes for various patient encounters, ensuring compliance with coding guidelines and resolving claim rejections.

Key responsibilities:

• Assign accurate ICD-10-CM and CPT/HCPCS codes for ambulatory encounters while adhering to official coding guidelines and payer-specific policies
• Review clinical documentation to confirm medical necessity, submit compliant queries, and maintain coding accuracy above client-defined thresholds
• Resolve coding-related claim rejections and denials by applying corrected codes, providing supporting documentation, and following claims through to resolution

Required qualifications:

• High School Diploma or GED
• 3-5 years of coding experience in ambulatory, inpatient, or outpatient settings
• 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