Certified Coding Specialist

Job Summary

Independently reviewing and resolving front-end claims, the full-time remote Certified Coding Specialist will ensure accurate coding and timely claim submission while collaborating with revenue cycle partners to enhance clean claim rates and reimbursement processes.

Key responsibilities

• Review and analyze assigned front-end claims to identify and correct coding-related issues
• Assign ICD-10-CM and CPT codes with appropriate modifiers, maintaining a minimum of 90% coding accuracy
• Utilize internal coding resources and payer guidelines to ensure compliance with coding practices and HIPAA regulations

Required qualifications

• Current AAPC or AHIMA Certification with a minimum of 3 years of experience
• Strong knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Prior experience in a medical billing environment with strict adherence to HIPAA compliance
• Demonstrated ability to exercise independent judgment in coding and claim resolution
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)