Certified Medical Coding Specialist

Job Summary

Independently reviewing and resolving front-end claims, the full-time Certified Medical Coding Specialist will ensure accurate coding and timely claim submission while working remotely.

Key responsibilities

• Assign ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment
• Review medical records and documentation to determine appropriate codes for services and diagnoses, maintaining a minimum of 90% coding accuracy
• Collaborate with revenue cycle partners to prevent claim rejections and support efficient reimbursement processes

Required qualifications

• Certification as a Medical Coding Specialist (e.g., CPC, CCS, or equivalent)
• Strong foundational knowledge of coding guidelines and payer requirements
• Experience in reviewing and resolving front-end claims
• Current knowledge of laws, regulations, and industry guidance affecting coding practices
• Ability to work independently in a fast-paced environment