Certified Medical Coder

Job Summary

A company is looking for a Medical Coding and Research Specialist.

Key Responsibilities

• Review and analyze billing for medical appropriateness, ensuring compliance with coding standards
• Prepare findings and assist with internal claims and review recommendations
• Monitor trends and communicate regulatory changes affecting billing practices

Required Qualifications

• Bachelor's Degree in a healthcare-related field or completion of medical license/coding certification
• Current nursing certification or coding certifications (CCS, CCS-P, CPC, RHIA/RHIT)
• Minimum 2 years of experience in medical billing, coding, or auditing
• Knowledge of inpatient/outpatient billing requirements and coding systems (CPT, ICD-9/10)
• Experience with auditing and health information management in a healthcare setting preferred