Certified Coding Specialist

Job Summary

Reviewing clinical documentation for inpatient hospital-based claims, the remote Coding Specialist III will assign ICD-10-CM and PCS codes, validate MS-DRG and APC assignments, and abstract clinical data while maintaining a quality level of 95% or greater.

Key responsibilities:

• Assigns ICD-10-CM and PCS codes for inpatient visits and surgical CPT codes for physician visits
• Validates MS-DRG or APC assignments and mitigates coding-related claims scrubber edits
• Participates in client meetings and maintains current knowledge of coding conventions

Required qualifications:

• Active AHIMA or AAPC credential
• One year of relevant coding experience within the last six months
• Passing score of 80% on specific pre-employment tests