Certified Coding Specialist

Job Summary

To enhance coding accuracy and reimbursement, the remote Certified Coding Specialist will review medical documentation, assign diagnosis and procedure codes for inpatient and outpatient services, and address coding-related claim denials and rejections.

Key responsibilities

• Review inpatient and outpatient records to assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes
• Analyze and resolve coding-related payer denials and recommend appeals as necessary
• Collaborate with various teams to ensure compliance with coding guidelines and improve claim submission processes

Required qualifications

• Active CPC, COC, CCS, or CIC certification
• 2+ years of experience in inpatient and/or outpatient facility coding
• Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and coding guidelines
• Experience with coding encoders and electronic medical record systems
• Ability to work independently and meet productivity and quality standards