Certified Coding Specialist
Job Summary
Performing complex reviews of clinical documentation, the full-time remote Certified Coding Specialist will validate the accuracy of diagnostic and procedural coding, develop written rationales for findings, and respond to provider appeals.
Key responsibilities
- Conduct complex reviews of inpatient and outpatient medical records for coding accuracy
- Develop case-specific rationales to communicate findings to healthcare providers and peer review teams
- Identify clinical questions and refer cases to the Medical Director as needed
Required qualifications
- Associate's degree in Health Information Technology preferred
- Two years of experience with Diagnosis Related Groups (DRG), ICD-9-CM/ICD-10-CM/PCS, CPT, and HCPCS coding
- Certification as a Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder (CPC) may be required
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