Certified Coding Specialist

Job Summary

Seeking a Certified Coding Specialist III, this fully remote position requires expertise in coding and verifying inpatient encounters using ICD-10 CM, PCS, CPT, HCPCS, HCC, and HEDIS CAT II codes, while also providing guidance to coding staff to ensure compliance with established guidelines and accuracy in billing.

Key responsibilities

• Assign appropriate diagnosis and procedure codes for inpatient encounters, ensuring compliance with coding conventions and hospital policies
• Maintain a minimum accuracy rate of 95% on quality reviews while meeting productivity standards
• Coach and train coding staff on coding practices, addressing inquiries, and ensuring consistency and accuracy in coding processes

Required qualifications

• High school diploma and completion of an approved coding program or graduation from a Health Information Management program
• Three years of coding experience in an acute care hospital environment
• Certification as a Certified Coding Specialist (CCS) or equivalent from recognized organizations
• Advanced knowledge of ICD-10-CM/PCS coding and familiarity with billing and reimbursement principles
• Ability to achieve a minimum score of 85% on a pre-employment coding test