Certified Coding Specialist

Job Summary

To enhance coding quality and billing accuracy, the remote Certified Coding Specialist will review coding quality alerts, resolve billing edits and denials, and ensure compliance with coding standards in a full-time capacity.

Key responsibilities

• Verifying accuracy of CPT and diagnosis codes for complex procedures and encounters
• Assisting in resolving billing edits that prevent patient claims from being billed
• Serving as a liaison between management, coders, and medical staff regarding coding and billing issues

Required qualifications

• Must have completed an approved coding program or graduated from a Health Information Management program
• Five years of coding experience in an acute care hospital environment
• Certification as a Certified Coding Specialist (CCS) or equivalent from recognized associations
• Advanced knowledge of coding, abstracting skills, and reimbursement principles
• Extensive knowledge of medical terminology, anatomy, and physiology