Certified Coding Specialist

Job Summary

To support accurate coding practices, the full-time remote Certified Coding Specialist will review, interpret, and assign ICD-10-CM, CPT, and HCPCS Level II codes for healthcare provider services while ensuring compliance with regulations and collaborating with clinical teams.

Key responsibilities

• Assigns accurate codes for clinic visits and resolves coding conflicts while adhering to coding guidelines and documentation standards
• Monitors and resolves rejected accounts, researching coding issues and ensuring compliance with CMS regulations and organizational policies
• Maintains coding accuracy and productivity standards, participating in compliance initiatives to minimize coding-related denials

Required qualifications

• High school diploma or equivalent required
• Certification as a CPC (Certified Professional Coder) or CCS/CCS-P (Certified Coding Specialist/Physician-based) is required
• 1-3+ years of professional coding experience, preferably in a physician-based setting
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines, as well as medical terminology and healthcare documentation
• Proficiency with electronic health records, with Epic experience preferred