Certified Coding Specialist

Job Summary

Working remotely in a full-time capacity, the Certified Coding Specialist will apply ICD-10-CM/PCS and CPT codes for outpatient and inpatient encounters, validate charges, and communicate with clinical staff to ensure accurate documentation and coding compliance.

Key responsibilities

• Accurately determine diagnosis and procedure codes from patient health records and other systems
• Validate charges against health record documentation and track issues requiring follow-up
• Maintain up-to-date knowledge of coding guidelines and communicate effectively with clinical staff regarding documentation needs

Required qualifications

• High School Diploma with 2 years of coding experience or an Associate's degree in Coding (or similar field) with no experience required
• Preferred certifications include Certified Coding Specialist from CCHIIM or other relevant coding certifications from AAPC
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS coding principles, and third-party reimbursement regulations
• Experience with encoding/grouping software and standard desktop computer systems
• Understanding of documentation regulations from Joint Commission and CMS