Certified Coding Specialist

Job Summary

To support accurate billing and optimal reimbursement, the full-time Certified Coding Specialist will review and analyze clinical documentation to assign diagnosis and procedure codes while ensuring compliance with coding standards in a 100% remote environment.

Key responsibilities

• Reviews clinical documentation to assign ICD-10-CM, CPT, and HCPCS codes in accordance with coding guidelines and regulatory standards
• Investigates and resolves coding edits, claim denials, and reimbursement issues to ensure compliant claim processing
• Participates in coding audits and provides guidance on coding and documentation practices to providers and operational teams

Required qualifications

• High school diploma or equivalent required; completion of formal coursework in medical coding principles from an accredited program
• One (1) year of facility or professional medical coding experience, including outpatient and clinic services
• Demonstrated proficiency with ICD-10-CM, CPT, and HCPCS coding
• One of the following certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent
• Working knowledge of anatomy, physiology, medical terminology, and electronic health record systems