Certified Coding Specialist

Job Summary

Working remotely on a full-time basis, the Certified Coding Specialist will independently review and resolve front-end claims, ensuring accurate coding and compliance with established guidelines to support efficient reimbursement processes.

Key responsibilities

• Review and analyze assigned front-end claims to identify and correct coding-related issues prior to submission
• Assign appropriate ICD-10-CM and CPT codes while maintaining a minimum of 90% coding accuracy
• Collaborate with revenue cycle partners to prevent claim rejections and support clean claim rates

Required qualifications

• Current AAPC or AHIMA Certification with a minimum of 3 years of experience
• Strong knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Prior experience in a medical billing environment with strict adherence to HIPAA compliance
• Demonstrated ability to exercise independent judgment in coding and claim resolution
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)