Certified Medical Coding Specialist

Job Summary

To support healthcare billing accuracy, the full-time Certified Medical Coding Specialist will analyze claims, apply coding standards, and ensure compliance with federal regulations, working independently in a dynamic environment.

Key responsibilities:

• Review and analyze inpatient and outpatient billing for medical appropriateness and compliance
• Apply national and international coding standards to claims and prepare documentation for audits
• Monitor trends in coding practices and communicate findings across departments

Required qualifications:

• Bachelor's Degree in a healthcare-related field or completion of medical coding certification curriculum
• Current nursing certification or certified coder (CCS, CCS-P, CPC, RHIA/RHIT)
• Minimum of 2 years of experience in medical billing, coding, or auditing
• Knowledge of inpatient and outpatient hospital billing requirements and international equivalents
• Familiarity with medical terminology, anatomy, and physiology