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 calculations, and mitigate coding-related claims scrubber edits while maintaining a quality level of 95% or greater.

Key responsibilities:

• Assigns ICD-10-CM and PCS codes for inpatient visits and EM levels and surgical CPT codes for physician visits
• Validates MS-DRG or APC assignments as applicable
• Abstracts clinical data and mitigates coding-related claims scrubber edits

Required qualifications:

• An active AHIMA or AAPC credential
• One year of relevant coding experience for the specific patient type within the last six months
• Passing score of 80% on specific pre-employment tests assigned