Certified Coding Specialist

Job Summary

To support accurate coding practices, the full-time Certified Coding Specialist will review, interpret, and assign ICD-10-CM, CPT, and HCPCS Level II codes for outpatient services while working remotely and ensuring compliance with regulations and organizational policies.

Key responsibilities

• Assign and review codes for clinic visits, ensuring documentation supports coding accuracy and compliance
• Monitor and resolve rejected accounts, researching coding conflicts and referring complex issues as needed
• Maintain compliance with coding regulations and participate in initiatives to reduce coding-related denials and audit findings

Required qualifications

• High school diploma or equivalent required
• Certification as a CPC (Certified Professional Coder) or CCS/CCS-P (Certified Coding Specialist/Physician-based) 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
• Proficiency with electronic health records (EHR), with Epic experience preferred