Certified Coding Specialist

Job Summary

To support efficient reimbursement processes, the full-time remote Certified Coding Specialist will independently review and resolve front-end scrubs and denied claims, ensuring accurate claim submissions and compliance with coding guidelines.

Key responsibilities

• Review and analyze front-end claim holds and denied claims to ensure timely resolution
• Assign appropriate ICD-10-CM and CPT codes, maintaining a minimum coding accuracy of 92%
• Create appeal letters and documentation for resubmitting corrected claims to insurance

Required qualifications

• Current AAPC or AHIMA Coding Certification with a minimum of 3 years of experience
• Strong knowledge of CPT, ICD-10-CM, medical terminology, and Medicare reimbursement guidelines
• Experience in reviewing and correcting coding errors and submitting appeals
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams)
• Demonstrated ability to maintain confidentiality and adhere to HIPAA compliance requirements